Active NPI
Amy Beth Berman
- Psychologist
- Portland, OR
National Provider Identifier
1144755646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 12 SE 14TH Avenue
Suite 106
Portland, OR 97214 - Phone
- (503) 482-2800
- Fax
- (503) 482-2844
- NPI assigned
- Apr 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
12 SE 14TH Avenue
Suite 106
Portland, OR 97214
Mailing address
10350 N Vancouver Way
Suite 63703
Portland, OR 97217
Phone (503) 482-2800
Other practice location 1
10 N Greene St
VA Maryland Health Care System
Baltimore, MD 21201-1524
Phone (410) 637-1242
Other practice location 2
1513 SE Morrison St
Portland, OR 97214-2696
Phone (503) 482-2800
Other practice location 3
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (971) 304-2421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 15, 2023 through Sep 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3551 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1144755646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 N VANCOUVER WAY",
"address_2": "SUITE 63703",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97217",
"telephone_number": "503-482-2800",
"fax_number": "503-482-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SE 14TH AVENUE",
"address_2": "SUITE 106",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "503-482-2800",
"fax_number": "503-482-2844"
}
],
"practiceLocations": [
{
"address_1": "10 N Greene St",
"address_2": "VA Maryland Health Care System",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011524",
"country_code": "US",
"telephone_number": "410-637-1242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1513 SE Morrison St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972142696",
"country_code": "US",
"telephone_number": "503-482-2800",
"fax_number": "503-482-2844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3710 SW US Veterans Hospital Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392964",
"country_code": "US",
"telephone_number": "971-304-2421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMAN",
"first_name": "AMY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-22",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.