JUDITH CLAIRE BERMAN


Address: 1015 Chestnut St, Ste 901, Philadelphia, PA 19107-4309
Phone: 2155920139

JUDITH CLAIRE BERMAN (NPI# 1588781462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588781462
Entity Type Individual
Full Name JUDITH CLAIRE BERMAN
Other Name JUDITH S. BERMAN
Credential M.A.
Practice Address 1015 Chestnut St
Ste 901
Philadelphia
PA 19107-4309
Practice Telephone 2155920139
Practice Fax Number 2155921675
Mailing Telephone 2155920139
Mailing Fax Number 2155921675
Enumeration Date 2007-03-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS001774L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
EMPIRE BLUE CROSS NG6821 01
CIGNA 2101414 01
PA INDEPENDENCE BLUE CROSS 0043755000 01
AETNA 5599676 01

Other Providers JUDITH BERMAN

NPI Name Taxonomy Address Enumeration
1780881367 Judith Chertoff Berman Psychiatry & Neurology 6205 Poindexter Ln, North Bethesda, MD 20852-3642 2007-06-28
1598200107 Judith Carlisle Berman Counselor 2300 Commonwealth Dr, #100, Charlottesville, VA 22901-1893 2017-01-05

Office Location

Street Address 1015 CHESTNUT ST
STE 901
City PHILADELPHIA
State PA
Zip Code 19107-4309

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1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1265070379 Jeannine Cicco Barker Psychologist 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 2019-12-19
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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