Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bertram Oliver Ploog, PHD, BCBA-D

Individual provider Behavior Analyst · NPI 1841426665

Dr. Bertram Oliver Ploog, PHD, BCBA-D is a Clinical Psychologist in Staten Island, New York. Qualified in 1991, 35 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

56 Saint Marks Pl
Staten Island, NY 10301-1607
Phone: (718) 982-4083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 021285 (NY)
Behavior Analyst Taxonomy 103K00000X · Licence 000065-1 (NY)

Record details

NPI number1841426665
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , BCBA-D
Sole proprietorYes
NPI enumeratedJune 8, 2009
Last updated in NPPESNovember 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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