Organization Active NPI

Diversified Psychcare Associates, P.C.

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1871663658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-037544-E Issued in PA
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

Updated by the provider on Aug 22, 2020

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.NPI 1932279718
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.