DR. AUDREY MARILYN BERGER (NPI# 1639148273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639148273 |
| Entity Type | Individual |
| Full Name | DR. AUDREY MARILYN BERGER |
| Credential | PH.D. |
| Practice Address |
300 White Spruce Blvd Rochester NY 14623-1606 |
| Practice Telephone | 5852920095 |
| Practice Fax Number | 5854247592 |
| Mailing Telephone | 5852920095 |
| Mailing Fax Number | 5854247592 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
007207-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE PROVIDERID | 103225FC | 01 |
| NY | NYS LICENSE | 007207 | 01 |
| Street Address |
300 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275009482 | Stephanie Nicolau-raducu | Physician Assistant | 300 White Spruce Blvd, Rochester, NY 14623-1606 | 2018-10-16 |
| 1871943027 | Imb Corporation | Internal Medicine | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2016-06-20 |
| 1467810390 | Audra Dion | Counselor | 300 White Spruce Blvd, Suite 26, Rochester, NY 14623-1606 | 2016-02-06 |
| 1265858039 | Julie E Yoon Md Pllc | Internal Medicine | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2014-03-17 |
| 1992136204 | Iq Family and Cosmetic Dentistry Pllc | Dentist | 300 White Spruce Blvd, Rochester, NY 14623-1606 | 2013-12-12 |
| 1477873966 | Catherine Tan Md Pllc | Internal Medicine | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2010-06-07 |
| 1548418171 | Kristin Capuano | Nurse Practitioner | 300 White Spruce Blvd, C/o Genesee Valley Laser Centre, Rochester, NY 14623-1606 | 2008-09-08 |
| 1346413416 | Pamela Damiani | Nurse Practitioner | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2008-04-09 |
| 1801085667 | Diego G Cahn-hidalgo Md Pllc | Internal Medicine | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2007-10-17 |
| 1255524310 | Bernedette P Minnella Md Pllc | Internal Medicine | 300 White Spruce Blvd, Suite 100, Rochester, NY 14623-1606 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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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.