MEDICARE: DR. BRUCE BERMAN PH.D.

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	103TC0700X	Clinical Psychologist	007713	NY

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	:	1790767176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE BERMAN PH.D.

Provider Business Mailing Address
First Line	:	211 W 56TH ST
Second Line	:	SUITE 34D
City	:	NEW YORK
State	:	NY
Zip	:	10019-4312
Country	:	US
Telephone Number	:	212-265-3594
Fax Number	:	212-265-3597

Provider Business Practice Location Address
First Line	:	211 W 56TH ST
Second Line	:	SUITE 34D
City	:	NEW YORK
State	:	NY
Zip	:	10019-4312
Country	:	US
Telephone Number	:	212-265-3594
Fax Number	:	212-265-3597

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013990688 — DR. DEBORAH RINZLER PH.D.
Practice Location Address:

211 W 56TH ST , SUITE 30-G
NEW YORK, NY
10019-4312

Practice Phone: 212-246-4892
Practice Fax:

1083698971 — DAVID R. YONKIN LCSW
Practice Location Address:

211 W 56TH ST , SUITE 30-G
NEW YORK, NY
10019-4312

Practice Phone: 917-842-2655
Practice Fax:

1154371698 — MR. DANIEL SHAW LCSW
Practice Location Address:

211 W 56TH ST , STE. 5K
NEW YORK, NY
10019-4312

Practice Phone: 212-581-6658
Practice Fax: 212-581-6658

1427008994 — SHAW COUNSELING SERVICES
Practice Location Address:

211 W 56TH ST , APT. 5K
NEW YORK, NY
10019-4312

Practice Phone: 212-581-6658
Practice Fax:

1194772434 — DR. GRAHAM GEORGE KAVANAGH PH.D.
Practice Location Address:

211 W 56TH ST , 35A
NEW YORK, NY
10019-4312

Practice Phone: 212-247-1831
Practice Fax: 212-247-0255

1427088210 — DR. MARIA JUDITH NARDONE PH.D.
Practice Location Address:

211 W 56TH ST , SUITE 36A
NEW YORK, NY
10019-4312

Practice Phone: 212-489-0775
Practice Fax: 212-246-2569

Directions to “ DR. BRUCE BERMAN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.