Individual provider Active NPI

Joan Berson, M.D.

  • Psychiatry Physician
  • New City, NY
National Provider Identifier
1912919077
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
106747 Issued in NY
Practice address
6 Rollingwood Dr
New City, NY 10956-2006
Phone
(845) 634-3600
Fax
(845) 634-3600
NPI assigned
Aug 13, 2006
Last updated
Jun 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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 106747 NY Primary

Addresses

Primary practice location

6 Rollingwood Dr
New City, NY 10956-2006

Mailing address

6 Rollingwood Dr
New City, NY 10956-2006
Phone (845) 634-3600

Other practice location 1

254 S Main St
Ste 512
New City, NY 10956-3363
Phone (845) 634-3600

Other identifiers 1

IdentifierTypeStateIssuer
106747OtherNYMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1912919077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROLLINGWOOD DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562006",
            "telephone_number": "845-634-3600",
            "fax_number": "845-634-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROLLINGWOOD DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562006",
            "telephone_number": "845-634-3600",
            "fax_number": "845-634-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 S Main St",
            "address_2": "Ste 512",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109563363",
            "country_code": "US",
            "telephone_number": "845-634-3600",
            "fax_number": "845-634-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERSON",
        "first_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "106747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "106747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.