Individual provider Active NPI

Keith Alan Berfield, PH.D.

  • Clinical Psychologist
  • West Palm Beach, FL
National Provider Identifier
1952339657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006494L Issued in PA
Practice address
7305 North Military Trail
VA Medical Center, Mental Health and Behavioral Science
West Palm Beach, FL 33410-6400
Phone
(561) 422-6566
Fax
(561) 422-6992
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

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
Clinical Psychologist 103TC0700X PS006494L PA Primary

Addresses

Primary practice location

7305 North Military Trail
VA Medical Center, Mental Health and Behavioral Science
West Palm Beach, FL 33410-6400

Mailing address

3969 SW Halcomb St
Port Saint Lucie, FL 34953-4058
Phone (772) 344-5342

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS006494LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952339657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 SW HALCOMB ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534058",
            "telephone_number": "772-344-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 NORTH MILITARY TRAIL",
            "address_2": "VA MEDICAL CENTER, MENTAL HEALTH AND BEHAVIORAL SCIENCE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106400",
            "telephone_number": "561-422-6566",
            "fax_number": "561-422-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERFIELD",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006494L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.