Provider Demographics
NPI:1720002728
Name:BERMAN, TOBY (PSY D)
Entity Type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:BERMAN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 960
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-673-0797
Mailing Address - Fax:305-538-1218
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 960
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-673-0797
Practice Address - Fax:305-538-1218
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY33382084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75233Medicare ID - Type UnspecifiedMEDICARE PROVIDER #