Mary B Berge, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS015330 Issued in PA

Practice address

1765 Goucher St
Johnstown, PA 15905-1101

Phone

(814) 535-8586

Fax

(814) 254-4170

NPI assigned

May 11, 2006

Last updated

Jun 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Mary B Auen Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy J Carnevale, PSY.D.

  • Clinical Psychologist
  • Dunmore, PA
  • NPI 1356888341
  Medicare reassignment
• Randall Jay Harris, PSY.D.

  • Clinical Psychologist
  • Johnstown, PA
  • NPI 1659548725
  Medicare reassignment
• Heather Lynn Hay, LSW

  • Mental Health Counselor
  • Johnstown, PA
  • NPI 1245535954
  Medicare reassignment
• Peggy V Hoffman, PSYD

  • Psychologist
  • Everett, PA
  • NPI 1497914469
  Medicare reassignment
• Reece Olley Rahman

  • Psychologist
  • Indiana, PA
  • NPI 1619135704
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Willowbrook Center

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1659594554
  Authorized official Same address or phone
• Dr. Mary Berge and Associates, LLC

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1063783678
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1982654935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051101",
            "telephone_number": "814-535-8586",
            "fax_number": "814-254-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051101",
            "telephone_number": "814-535-8586",
            "fax_number": "814-254-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGE",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK / BCBS",
            "identifier": "2683283",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562719",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "AUEN",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benscreek Drug Store
• Angela Elaine Benson, OTR-L
• Mary Benson, PT
• Alexander Thomas Berarducci, DMD
• Chester J Beres, MD
• Karl Berger, MD
• William A. Bergin, D.O.
• Berkebile Chiropractic
• David G Berkebile, D.C.
• Derik Steven Berkebile, LCSW

• Psychologist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.