Individual provider Active NPI

Stuart Jay Berner, PH. D.

  • Psychologist
  • Putnam Valley, NY
National Provider Identifier
1902975014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0101581 Issued in NY
Practice address
5 Mueller Mountain Rd
Putnam Valley, NY 10579-3313
Phone
(845) 528-1907
Fax
(845) 528-1907
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0101581 NY Primary

Addresses

Primary practice location

5 Mueller Mountain Rd
Putnam Valley, NY 10579-3313

Mailing address

5 Mueller Mountain Rd
Putnam Valley, NY 10579-3313
Phone (845) 528-1907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611000752 NY Practitioner - Clinical Psychologist 2062812100 Practice locations: Putnam Valley, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Mueller Mountain Rd
Putnam Valley, NY 10579-3313
Phone (845) 528-1907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101581NYMDPsychologist
010158NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902975014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MUELLER MOUNTAIN RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793313",
            "telephone_number": "845-528-1907",
            "fax_number": "845-528-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MUELLER MOUNTAIN RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793313",
            "telephone_number": "845-528-1907",
            "fax_number": "845-528-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNER",
        "first_name": "STUART",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0101581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

Verify at the official NPI Registry.