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DR. JON K BERENSON PHD
NPI 1285752188
Psychologist - Clinical in Providence, RI

Active since March 27, 2007Opted out of Medicare · through Jun 7, 2028
226 WATERMAN ST, PROVIDENCE, RI 02906(401) 272-7733 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jon K Berenson Phd NPPES

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

DR. JON K BERENSON PHD (NPI 1285752188) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (R9198) and active in the NPI registry since March 2007. He has opted out of Medicare through June 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285752188
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JON K BERENSONCredential: PHD
Location Address226 WATERMAN STProvidence, RI 02906
Mailing Address226 Waterman StProvidence, RI 02906 · (401) 272-7733
Phone(401) 272-7733
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285752188 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 RI · R9198
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.
226 WATERMAN ST, Providence, RI 02906
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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. Jon K Berenson Phd 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 June 7, 2016 through June 7, 2028.

Opt-Out Effective DateJune 7, 2016
Opt-Out In Effect ThroughJune 7, 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 02906 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 2

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

DR. SHARI WASSERSTEIN ELICE PH.D.
Psychologist (Clinical)
226 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 398-0983
ROBERTA S. LASSER LICSW
Social Worker (Clinical)
226 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 273-9252

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 Jon Berenson's NPI number?

The NPI number for Jon Berenson is 1285752188. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Jon Berenson located?

Jon Berenson practices at 226 Waterman St, Providence, RI 02906. The listed phone number is (401) 272-7733.

What is Jon Berenson's specialty?

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

Is Jon Berenson enrolled in Medicare?

No. Jon Berenson has opted out of Medicare through June 7, 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 Jon Berenson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.