Dr. Bruce Berman, Ph.D.
Psychologist, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1790767176
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790767176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce Berman
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 | 007713 | NY | Yes |
Practice location
211 W 56th StSuite 34d
New York, NY 10019-4312
Phone 212-265-3594 · Fax 212-265-3597
Mailing address
211 W 56th StSuite 34d
New York, NY 10019-4312
Phone 212-265-3594 · Fax 212-265-3597
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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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