Provider Demographics
NPI:1780878678
Name:BOND & BERK ASSOCIATES
Entity type:Organization
Organization Name:BOND & BERK ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BERK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-431-7792
Mailing Address - Street 1:236 GLEN RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-2237
Mailing Address - Country:US
Mailing Address - Phone:781-431-7792
Mailing Address - Fax:781-431-9622
Practice Address - Street 1:236 GLEN RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-2237
Practice Address - Country:US
Practice Address - Phone:781-431-7792
Practice Address - Fax:781-431-9622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022381041C0700X
MA3039103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW10196OtherBLUE SHIELD