ANDREW L BERGER, PH.D., PC — NPI 1669739538 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1669739538

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103T00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist

Box 32 Service Location & ZIP+4

283 COMMACK RD, SUITE LL2, COMMACK, NY, 11725-6021

✓ 9-Digit EDI 837 ZIP+4 (11725-6021)

Practice Phone & Referral Fax

(631) 499-6143

Fax: (631) 493-0352

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669739538 (ANDREW L BERGER, PH.D., PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669739538` (NPI-2 Organization / Facility)
Provider / Legal Name	ANDREW L BERGER, PH.D., PC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: `103T00000X` (Psychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	283 COMMACK RD, SUITE LL2, COMMACK, NY, 11725-6021
Practice Telephone / Fax	Tel: (631) 499-6143 \| Fax: (631) 493-0352
Administrative Mailing Address	283 COMMACK RD, COMMACK, NY, 11725-6021
Enumeration & Last Sync	Enumerated: 2012-04-18 \| CMS Record Updated: 2012-04-18
Authorized Official	ANDREW BERGER (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

283 COMMACK RD, SUITE LL2, COMMACK, NY, 11725-6021

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Plain-English Taxonomy & CMS Crosswalk (103T00000X)

What Does Taxonomy Code 103T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREW L BERGER, PH.D., PC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: NY \| License: `007532` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDREW L BERGER, PH.D., PC (NPI #1669739538)