Organization Active NPI

Paul M. Berkowitz, M.D., S.C.

  • Psychiatry Physician
  • Deerfield, IL
National Provider Identifier
1922031707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36-098596 Issued in IL
Legal business name
PAUL M. BERKOWITZ, M.D., S.C.
Practice address
707 Lake Cook Rd
Suite 135
Deerfield, IL 60015-5613
Phone
(847) 480-3010
NPI assigned
Jul 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. Paul M. Berkowitz, M.D.
Title
President
Phone
(847) 480-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 36-098596 IL Primary

Addresses

Primary practice location

707 Lake Cook Rd
Suite 135
Deerfield, IL 60015-5613

Mailing address

707 Lake Cook Rd
Suite 135
Deerfield, IL 60015-5613
Phone (847) 480-3010

National Provider Directory

National Provider Directory

Locations

707 Lake Cook Rd
Ste 135
Deerfield, IL 60015
Phone (847) 480-3010

Practitioners & affiliated clinicians

Practitioners 3

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922031707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD",
            "address_2": "SUITE 135",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155613",
            "telephone_number": "847-480-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD",
            "address_2": "SUITE 135",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155613",
            "telephone_number": "847-480-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M. BERKOWITZ, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-480-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36-098596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

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.