Theodore L. Berry, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

222 W Valerio St
Santa Barbara, CA 93101-2930

Phone

(805) 569-2785

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanctuary Centers of Santa Barbara Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Barbara, CA
  • NPI 1083779524
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063563583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 ARGONNE CIR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052731",
            "telephone_number": "510-468-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W VALERIO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012930",
            "telephone_number": "805-569-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "THEODORE",
        "middle_name": "L.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Berndt
• Michael L Bernstein, M.D.
• Steven F Berrett, MD
• Mark Steven Berry, PTA
• Tamara Marie Berry
• Agustina Bertone, PHD
• Samantha L Bessega, MD
• Craig Bessermin
• Juliet Velarde Betita, M.A., L.M.F.T
• Betsy Macmackin Munroe Inc a Professional Acupuncture Corp

• Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.