Individual provider Active NPI

Raviv Brian Berlin, M.D.

  • Psychiatry Physician
  • Stamford, CT
National Provider Identifier
1851619902
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
269289 Issued in NY
Practice address
1 Hospital PLZ
Stamford, CT 06902-3602
Phone
(203) 276-7111
Fax
(203) 276-7081
NPI assigned
May 13, 2010
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 269289 NY Primary

Addresses

Primary practice location

1 Hospital PLZ
Stamford, CT 06902-3602

Mailing address

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160223002229 NY Practitioner - Psychiatry 7517111396 Reassigns benefits to 3 organizations
I20220818003144 CT Practitioner - Psychiatry 7517111396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269289NYMDAdult Companion

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Oct 19, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 16, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Stamford Health Medical Group Inc Psychiatry CurrentSince Aug 1, 2022 Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry CurrentSince Oct 19, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 16, 2015 Accepting new patients
Schuman-Liles Clinic, Inc Psychiatry Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
Schuman-Liles Clinic, Inc Psychiatry Past Accepting new patients

Locations

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7559 263rd St
Rm 132
Glen Oaks, NY 11004
Phone (718) 470-8023

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA
  • Direct secure messaging: ravivberlin@mai.allscriptsdirect.net
  • Direct secure messaging: rberlin24222@stamfordhealth.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1851619902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-7111",
            "fax_number": "203-276-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-7111",
            "fax_number": "203-276-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "RAVIV",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "269289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.