SUSAN E BEREN (NPI# 1538154638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538154638 |
| Entity Type | Individual |
| Full Name | SUSAN E BEREN |
| Credential | PHD |
| Practice Address |
948 48th St Brooklyn NY 11219-2918 |
| Mailing Address |
977 48th St Brooklyn NY 11219-2919 |
| Practice Telephone | 7182838020 |
| Practice Fax Number | 7186357235 |
| Mailing Telephone | 7182838015 |
| Mailing Fax Number | 7186357235 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
013612 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTH FIRST | 013612-A15 | 01 |
| NY | 02265323 | 05 | |
| NY | VALUE OPTIONS | 149768 | 01 |
| NY | OXFORD HEALTH PLANS | P2631218 | 01 |
| Street Address |
948 48TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801103 | Ludovico Guarini | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2005-06-15 |
| 1356798169 | Linda Luciano | Nurse Practitioner | 948 48th St, 2nd Floor, Brooklyn, NY 11219-2918 | 2016-05-22 |
| 1811386808 | Sanskriti Mishra | Psychiatry & Neurology | 948 48th St, Maimonides Medical Center, Brooklyn, NY 11219-2918 | 2015-01-14 |
| 1154738854 | Jennifer K Masciotta | Nurse Practitioner | 948 48th St, 2nd Floor, Brooklyn, NY 11219-2918 | 2014-07-15 |
| 1679915326 | Simona Mattarelliano | Nurse Practitioner | 948 48th St, Brooklyn, NY 11219-2918 | 2013-07-23 |
| 1932469087 | Steven Rudolph, M.d. | Psychiatry & Neurology | 948 48th St, Brooklyn, NY 11219-2918 | 2012-05-23 |
| 1982971206 | Maimonides Medical Center -mmc Surgical Oncology Associates Fpp | Surgery | 948 48th St, Brooklyn, NY 11219-2918 | 2011-12-01 |
| 1275810624 | Nicole Mayo | Psychologist | 948 48th St, 3rd Floor, Brooklyn, NY 11219-2918 | 2011-11-14 |
| 1124318050 | Maimonides Medical Center | General Acute Care Hospital | 948 48th St, Brooklyn, NY 11219-2918 | 2011-04-12 |
| 1154610343 | Anastasia Paraskevas | Pharmacist | 948 48th St, Brooklyn, NY 11219-2918 | 2011-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630631 | Juliet Lisa Collingwood | Psychologist | 471 13th St, Brooklyn, NY 11215-5206 | 2020-02-11 |
| 1013488766 | Harvey Zeichner | Psychologist | 186 Joralemon St Fl 2, Brooklyn, NY 11201-4326 | 2018-12-06 |
| 1487019097 | Paul Mccabe | Psychologist | 427 7th Ave, #2, Brooklyn, NY 11215-7359 | 2015-12-24 |
| 1801201074 | James Poole | Psychologist | 278 Humboldt St, Apt 4r, Brooklyn, NY 11206 | 2014-06-26 |
| 1215291281 | Kristin Klahr | Psychologist | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2012-06-25 |
| 1073843462 | Jacqueline Sue Degroat | Psychologist | 816 Ditmas Ave, Brooklyn, NY 11218-5204 | 2010-01-06 |
| 1568628535 | Kathryn Leigh Clark | Psychologist | 100 8th Ave, Brooklyn, NY 11215-1554 | 2008-07-30 |
| 1538368477 | Leona M. Jaglom | Psychologist | 102 Garfield Pl, Brooklyn, NY 11215-2003 | 2007-07-11 |
| 1396844924 | Yelena Razdolskaya | Psychologist | 2785 W 5th St Apt 10e, Brooklyn, NY 11224-4612 | 2006-09-21 |
| 1487268074 | Brittany Bess | Psychologist | 483 Clermont Ave, Brooklyn, NY 11238-2253 | 2020-09-02 |
| Find all providers in BROOKLYN | ||||
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| 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.