DR. BERTRAM OLIVER PLOOG PH.D., BCBA-D
NPI 1841426665
Psychologist in Staten Island, NY

Active since June 08, 2009
56 SAINT MARKS PL, STATEN ISLAND, NY 10301(718) 982-4083 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bertram Oliver Ploog Ph.d., Bcba-d NPPES

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

DR. BERTRAM OLIVER PLOOG PH.D., BCBA-D (NPI 1841426665) is an individual psychologist in Staten Island, New York, licensed in New York (021285) and active in the NPI registry since June 2009. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1841426665
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BERTRAM OLIVER PLOOGCredential: PH.D., BCBA-D
Location Address56 SAINT MARKS PLStaten Island, NY 10301-1607
Mailing Address56 Saint Marks PlStaten Island, NY 10301-1607
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJune 8, 2009
Last NPPES UpdateNovember 30, 2015
NPI 1841426665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 021285
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.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 000065-1 (NY)
56 SAINT MARKS PL, Staten Island, NY 10301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bertram Oliver Ploog Ph.d., Bcba-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537652078
PECOS Enrollment IDI20251203002989

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 Bertram Ploog's NPI number?

The NPI number for Bertram Ploog is 1841426665. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Bertram Ploog located?

Bertram Ploog practices at 56 Saint Marks Pl, Staten Island, NY 10301. The listed phone number is (718) 982-4083.

What is Bertram Ploog's specialty?

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

Is Bertram Ploog enrolled in Medicare?

Yes. Bertram Ploog is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bertram Ploog was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.