DR. EDWIN BERCAW (NPI# 1871820233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871820233 |
| Entity Type | Individual |
| Full Name | DR. EDWIN BERCAW |
| Credential | PH.D. |
| Practice Address |
1090 Tamiami Trl Sarasota FL 34236-9116 |
| Mailing Address |
3818 67th Ter E Sarasota FL 34243-4009 |
| Practice Telephone | 9413630878 |
| Practice Fax Number | 7162423360 |
| Mailing Telephone | 9412255309 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PY7991 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7991 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3818 67th Ter E, Sarasota, FL 342434009 | 9412255309 | 9412255309 |
| Street Address |
1090 TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821477944 | William Siff | Psychologist | 1255 N Gulfstream Ave Apt 604, Sarasota, FL 34236-8927 | 2015-05-21 |
| 1396140489 | Baird Psychology Services, LLC | Psychologist | 2831 Ringling Blvd Ste 207c, Sarasota, FL 34237-5351 | 2014-10-31 |
| 1790198463 | Mickaella Moreta Corp | Psychologist | 2401 University Pkwy Bldg 1, Suite 203, Sarasota, FL 34243-2893 | 2014-06-10 |
| 1205155900 | John Samuel Kleinbaum | Psychologist | 7414 Linden Ln, Sarasota, FL 34243-5129 | 2010-05-20 |
| 1023269941 | Amy L Hoffman | Psychologist | 2844 Proctor Rd, Suite 3, Sarasota, FL 34231-6424 | 2008-10-09 |
| 1235326067 | Valeria Lynette Moore | Psychologist | 200 Herons Run Dr Apt 219, Sarasota, FL 34232-1760 | 2007-09-25 |
| 1962526780 | Marvin Keith Hendon | Psychologist | 240 North Washington Boulevard, 308, Sarasota, FL 34236 | 2007-03-19 |
| 1821129479 | Deborah Huntley | Psychologist | 4576 Ascot Cir S, Sarasota, FL 34235-3612 | 2007-03-07 |
| 1639204647 | Jessie Williams | Psychologist | 1221 S Tamiami Trl, Sarasota, FL 34239-2208 | 2007-02-22 |
| 1295892768 | Tara Michele Files-hall | Psychologist | 6977 Professional Parkway East, Sarasota, FL 34240-8411 | 2007-01-03 |
| Find all providers in SARASOTA | ||||
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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.