Provider Demographics
NPI:1285318378
Name:ANDREW S BERRY PSYCHOLOGIST PC
Entity type:Organization
Organization Name:ANDREW S BERRY PSYCHOLOGIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PSYD, ABPP
Authorized Official - Phone:518-357-8213
Mailing Address - Street 1:3010 TROY SCHENECTADY RD # 3
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-1614
Mailing Address - Country:US
Mailing Address - Phone:518-357-8213
Mailing Address - Fax:
Practice Address - Street 1:3010 TROY SCHENECTADY RD # 3
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-1614
Practice Address - Country:US
Practice Address - Phone:518-357-8213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health