MEDICARE: RICHARD M BERLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2034161	NY
2	2084P0800X	Psychiatry Physician	51095	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649256900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD M BERLIN MD

Provider Business Mailing Address
First Line	:	PO BOX 1932
Second Line	:
City	:	LENOX
State	:	MA
Zip	:	01240-4932
Country	:	US
Telephone Number	:	413-637-1325
Fax Number	:	660-951-8043

Provider Business Practice Location Address
First Line	:	69 CHURCH ST
Second Line	:
City	:	LENOX
State	:	MA
Zip	:	01240-2771
Country	:	US
Telephone Number	:	413-637-1325
Fax Number	:	413-637-4265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	04/06/2021

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Directions to “ RICHARD M BERLIN MD” Practice Location

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