Individual provider Active NPI

Amy Beth Berman

  • Psychologist
  • Portland, OR
National Provider Identifier
1144755646
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
3551ORMDChiropractor

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

Verify at the official NPI Registry.