Organization Active NPI

Berg Psychotherapy Associates PLLC

  • Psychologist
  • Huntington Woods, MI
National Provider Identifier
1053185835
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BERG PSYCHOTHERAPY ASSOCIATES PLLC
Practice address
25217 Parkwood Dr
Huntington Woods, MI 48070-1739
Phone
(248) 436-4940
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leticia M Berg, LLPNPI 1295382836
Title
Limited License Psychologist
Phone
(248) 436-4940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

25217 Parkwood Dr
Huntington Woods, MI 48070-1739

Mailing address

28475 Greenfield Rd Ste 113-1312
Southfield, MI 48076-3034
Phone (248) 436-4940

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1053185835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113-1312",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "248-436-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25217 PARKWOOD DR",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701739",
            "telephone_number": "248-436-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG PSYCHOTHERAPY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LIMITED LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-436-4940",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.