National Provider Identifier
Stephanie Lisa Berg, MD
Stephanie Lisa Berg, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Pittsford, NY and a listed phone number of (585) 275-7301.
Profile Overview
- NPI
- 1508809831
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- June 14, 2006
- Last Updated
- December 05, 2025
Practice Location
- 179 Sullys Trl Ste 200
- Pittsford, NY 14534-4500
Phone: (585) 275-7301
Mailing Address
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Specialties
- Psychiatry Physician (2084P0800X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1508809831
- Entity Type
- Individual
- Last Name
- Berg
- First Name
- Stephanie
- Middle Name
- Lisa
- Credential
- MD
- Provider Other Last Name
- Rose
- Provider Other First Name
- Stephanie
- Provider Other Middle Name
- Lisa
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-7301
- Practice Street Address
- 179 Sullys Trl Ste 200
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4500
- Practice Country
- US
- Practice Phone
- (585) 275-7301
- Enumeration Date
- June 14, 2006
- Last Updated
- December 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- 312218 (SC), 0727552 (IA), 20148 (IA, Wellmark BCBS)