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DR. STACY BERLIN PSY.D.
NPI 1184641805
Psychologist - Clinical in West Los Angeles, CA

Active since July 17, 2006Opted out of Medicare · through Jan 1, 2028
12301 WILSHIRE BLVD, SUITE 210, WEST LOS ANGELES, CA 90025(310) 442-6466 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacy Berlin Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY BERLIN PSY.D. (NPI 1184641805) is an individual clinical provider in West Los Angeles, California, licensed in California (PSY16878) and active in the NPI registry since July 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184641805
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STACY BERLINCredential: PSY.D.
Location Address12301 WILSHIRE BLVD, SUITE 210West Los Angeles, CA 90025-1007
Mailing Address4223 Vantage AveStudio City, CA 91604-2066 · (310) 442-6466
Phone(310) 442-6466
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 21, 2010
✔ NPI 1184641805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY16878
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12301 WILSHIRE BLVD, West Los Angeles, CA 90025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stacy Berlin Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUZAN ANNE STARLER D.C.
Chiropractor
12301 WILSHIRE BLVD, SUITE, 615
LOS ANGELES, CA 90025
Los Angeles County (310) 571-1212
DR. LINDA DIANE EBERTH PHD CLINICAL PSYCHOL
Psychologist (Clinical)
12301 WILSHIRE BLVD, SUITE 210
WEST LOS ANGELES, CA 90025
Los Angeles County (310) 314-1858
DR. MICHAEL JOHN MOSS PSY.D.
Psychologist (Clinical)
12301 WILSHIRE BLVD, SUITE 515
LOS ANGELES, CA 90025
Los Angeles County (310) 948-0071
DR. JOAN RODMAN PHD
Psychologist (Clinical)
12301 WILSHIRE BLVD, #210
LOS ANGELES, CA 90025
Los Angeles County (310) 477-7053
WALTER W. MURRELL, PH.D.
Psychologist (Clinical)
12301 WILSHIRE BLVD, SUITE 210
LOS ANGELES, CA 90025
Los Angeles County (310) 204-1950
DR. CHARLES SCHWARZ M.D.
Orthopaedic Surgery (Sports Medicine)
12301 WILSHIRE BLVD, 201
LOS ANGELES, CA 90025
Los Angeles County (310) 442-0922
MS. RUTH ANNE SUBRIN MFT
Marriage & Family Therapist
12301 WILSHIRE BLVD, SUITE 515
LOS ANGELES, CA 90025
Los Angeles County (310) 283-4986
BONNIE ZIVETZ SILVERMAN LCSW
Counselor (Mental Health)
12301 WILSHIRE BLVD, STE 416
LOS ANGELES, CA 90025
Los Angeles County (310) 826-8284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Berlin's NPI number?

The NPI number for Stacy Berlin is 1184641805. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Stacy Berlin located?

Stacy Berlin practices at 12301 Wilshire Blvd Suite 210, West Los Angeles, CA 90025. The listed phone number is (310) 442-6466.

What is Stacy Berlin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stacy Berlin enrolled in Medicare?

No. Stacy Berlin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stacy Berlin was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.