Dr. Ellen Raynes Berman, Psy.D.
Psychologist, Clinical in Stamford, CT. Individual provider (NPI-1).
NPI number1013073147
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013073147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ellen Raynes Berman
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 1, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 001716 | CT | Yes |
| 103TC0700X | Psychologist, Clinical | 009609-1 | NY |
Practice location
123 Macgregor DrStamford, CT 06902-1409
Phone 203-961-8818
Mailing address
123 Macgregor DrStamford, CT 06902-1409
Phone 203-973-0181
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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