DR. JASPER MARLOWE BERG PHD
NPI 1447643911
Psychologist - Clinical in Seattle, WA
About Dr. Jasper Marlowe Berg Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASPER MARLOWE BERG PHD (NPI 1447643911) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY60732823) and active in the NPI registry since March 2015. The provider has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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. Jasper Marlowe Berg 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 November 1, 2017 through November 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SEATTLE, WA 98101
SEATTLE, WA 98101
SEATTLE, WA 98101
SEATTLE, WA 98101
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 Jasper Berg's NPI number?
The NPI number for Jasper Berg is 1447643911. It was assigned to this individual provider in the NPPES registry on March 9, 2015. The provider is also known as Joanna Margaret Berg Phd.
Where is Jasper Berg located?
Jasper Berg practices at 1200 5th Ave Ste 800, Seattle, WA 98101. The listed phone number is (206) 374-0109.
What is Jasper Berg's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jasper Berg enrolled in Medicare?
No. Jasper Berg has opted out of Medicare through November 1, 2027. 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 Jasper Berg was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Jasper Marlowe Berg, PHD · NPI 1447643911
Clinical provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since March 9, 2015.
## Identity
- **NPI:** 1447643911 (Entity type: Individual)
- **Enumerated:** March 9, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY60732823 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 5TH AVE STE 800, Seattle, WA 98101-3136
- **Phone:** (206) 374-0109
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447643911) · Data from the CMS NPPES public registry.