Active NPI
Diversified Psychcare Associates, P.C.
- Psychiatry Physician
- Bryn Mawr, PA
National Provider Identifier
1871663658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-037544-E
- Legal business name
- DIVERSIFIED PSYCHCARE ASSOCIATES, P.C.
- Practice address
- 234 S Bryn Mawr Ave
Suite 202
Bryn Mawr, PA 19010-2133 - Phone
- (610) 527-6555
- Fax
- (610) 527-7248
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce J. Berg, M.D.
- Title
- President
- Phone
- (610) 527-6555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-037544-E | PA | Primary |
Addresses
Primary practice location
234 S Bryn Mawr Ave
Suite 202
Bryn Mawr, PA 19010-2133
Mailing address
PO Box 693
Bryn Mawr, PA 19010-0693
Phone (610) 527-6555
National Provider Directory
National Provider DirectoryLocations
234 S Bryn Mawr Ave
Ste 202
Bryn Mawr, PA 19010
Phone (610) 525-0390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Wilmington, DE
- NPI 1932279718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871663658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 693",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190100693",
"telephone_number": "610-527-6555",
"fax_number": "610-527-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S BRYN MAWR AVE",
"address_2": "SUITE 202",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190102133",
"telephone_number": "610-527-6555",
"fax_number": "610-527-7248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED PSYCHCARE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-527-6555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD-037544-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.