Active NPI
Laura Beth Klein, MD
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1992939003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G059967
- Practice address
- 2435 Russell St
Berkeley, CA 94705 - Phone
- (510) 644-9824
- NPI assigned
- May 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G059967 | CA | Primary |
Addresses
Primary practice location
2435 Russell St
Berkeley, CA 94705
Mailing address
2435 Russell St
Berkeley, CA 94705
Phone (510) 644-9824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 24, 2019 through Nov 24, 2027
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": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1992939003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 RUSSELL ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-644-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 RUSSELL ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-644-9824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "LAURA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G059967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.