Berry Jane Bishop, PSYD
Individual provider Active NPI Psychologist · La Mirada, CA
NPI 1114860939 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1114860939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY31937 (CA)
- Practice address
- 13800 Biola Ave
La Mirada, CA 90639-0001 - Phone
- (530) 570-8469
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 14, 2022 through Dec 14, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31937 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biola Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY31937 | CA | Yes |
Addresses
Primary practice location
13800 Biola Ave
La Mirada, CA 90639-0001
Mailing address
13800 Biola Ave
La Mirada, CA 90639-0001
Phone (530) 570-8469
Other practice location 1
12625 La Mirada Blvd Ste 202
LA Mirada, CA 90638-2213
Phone (562) 903-4800
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.