Provider Demographics
NPI:1285989129
Name:BERKS PSYCHIATRY INC
Entity type:Organization
Organization Name:BERKS PSYCHIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:R.
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHOWDHURUY
Authorized Official - Suffix:
Authorized Official - Credentials:LA
Authorized Official - Phone:610-372-2525
Mailing Address - Street 1:146 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-1602
Mailing Address - Country:US
Mailing Address - Phone:610-372-2525
Mailing Address - Fax:610-372-2525
Practice Address - Street 1:146 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1602
Practice Address - Country:US
Practice Address - Phone:610-372-2525
Practice Address - Fax:610-372-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012210251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health