Individual provider Active NPI

Franklin Morris Berry Sr., PH D

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1093722746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1313 Issued in AZ
Practice address
7585 E Redfield Rd
Suite 211
Scottsdale, AZ 85260-6938
Phone
(602) 310-9028
Fax
(602) 354-4402
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1313 AZ Primary

Addresses

Primary practice location

7585 E Redfield Rd
Suite 211
Scottsdale, AZ 85260-6938

Mailing address

7585 E Redfield Rd
Suite 211
Scottsdale, AZ 85260-6938
Phone (602) 310-9028

Other identifiers 3

IdentifierTypeStateIssuer
043468OtherAZMANAGED HEALTH NETWORK AZ
AZ0608270OtherAZBLUE CROSS BS OF AZ
162131MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1313AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093722746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 E REDFIELD RD",
            "address_2": "SUITE 211",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606938",
            "telephone_number": "602-310-9028",
            "fax_number": "602-354-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 E REDFIELD RD",
            "address_2": "SUITE 211",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606938",
            "telephone_number": "602-310-9028",
            "fax_number": "602-354-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "FRANKLIN",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK AZ",
            "identifier": "043468",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS OF AZ",
            "identifier": "AZ0608270",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162131",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.