Jon K. Berenson, PHD
NPI 1285752188ActiveIndividual· Psychologist, Clinical· Providence, RI
Opted out of Medicare from June 2016 to June 2028. Psychologist, Clinical (PHD) in Providence, Rhode Island, licensed in RI, with an NPI issued in March 2007.
Overview
| NPI | 1285752188 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 27, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | R9198 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 7, 2016 – Jun 7, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other clinical psychologists in Providence
- 1023142700
- 1053395665
- 1104745835
- 1144184938
- 1154722171
- 1154731743
- 1184601932
- 1205723558
- 1215207105
- 1215963624
- 1245744606
- 1295211043
All 269 clinical psychologists in Providence · All clinical psychologists in Rhode Island