DR. THEODORE F. BERG PH.D.
NPI 1487711511
Psychologist in Chicago, IL

Active since January 01, 2007
53 W JACKSON BLVD, SUITE 1453, CHICAGO, IL 60604(510) 918-2650 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Theodore F. Berg Ph.d. NPPES

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

DR. THEODORE F. BERG PH.D. (NPI 1487711511) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071.009362) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1487711511
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. THEODORE F. BERGCredential: PH.D.
Location Address53 W JACKSON BLVD, SUITE 1453Chicago, IL 60604-3606
Mailing Address1313 N Ritchie Ct Apt 908Chicago, IL 60610-2155 · (510) 918-2650
Sole ProprietorYes
Enumeration DateJanuary 1, 2007
Last NPPES UpdateDecember 9, 2016
NPI 1487711511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in IL · 071.009362 Licensed in CA · 17341
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
53 W JACKSON BLVD, Chicago, IL 60604

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.

Psychologist (Clinical)
53 W JACKSON BLVD, SUITE 602
CHICAGO, IL 60604
Social Worker (Clinical)
53 W JACKSON BLVD, 1257
CHICAGO, IL 60604
Social Worker (Clinical)
53 W JACKSON BLVD, SUITE 1705
CHICAGO, IL 60604
Social Worker (Clinical)
53 W JACKSON BLVD, SUITE 1625
CHICAGO, IL 60604
Radiologic Technologist (Sonography)
53 W JACKSON BLVD, SUITE 1337
CHICAGO, IL 60604
Psychologist (Clinical)
53 W JACKSON BLVD, SUITE 1111
CHICAGO, IL 60604
Psychologist (Clinical)
53 W JACKSON BLVD
CHICAGO, IL 60604
Social Worker (Clinical)
53 W JACKSON BLVD, SUITE 404
CHICAGO, IL 60604

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 Theodore Berg's NPI number?

The NPI number for Theodore Berg is 1487711511. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is Theodore Berg located?

Theodore Berg practices at 53 W Jackson Blvd Suite 1453, Chicago, IL 60604. The listed phone number is (510) 918-2650.

What is Theodore Berg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Theodore Berg was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.