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DR. RICHARD A BERG PH.D. NPI 1114948817


NPI Information

NPI: 1114948817
Provider Name: DR. RICHARD A BERG, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5010 RANDALL PKWY
WILMINGTON, NC
ZIP 28403
Phone: (910) 791-5719
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DR. Richard A Berg, PH.D. is a clinical neuropsychologist in Wilmington, NC. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Richard A Berg, PH.D. NPI is 1114948817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5010 RANDALL PKWY
WILMINGTON, NC
ZIP 28403-829
Phone: (910) 791-5719
Fax: (910) 799-8180

The NPI 1114948817 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical1976NORTH CAROLINANo
2103G00000XClinical Neuropsychologist1976NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107740OTHERMAGALLEN
2280096 PINOTHERVALUE OPTIONS
361-00496OTHERUNITED HEALTHCARE
42814809EMEDICARE PINNORTH CAROLINA
55777071OTHERAETNA
6A206244OTHERGROUP
7B5232OTHERMEDCOST
82819819/B546 GROUPMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
90334HOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.