Felicia L Berry-Mitchell, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36757 Issued in CA

Practice address

4001 Ca-104
Ione,, CA 95640

Phone

(415) 547-0764

NPI assigned

Sep 22, 2006

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Felicia L. Berry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Providence Residential & Outpatient PTSD Services (Props)

  • Mental Illness Community Based Residential Treatment Facility
  • Douglasville, GA
  • NPI 1336480201
  NPD (past) Authorized official
• Providence Residential & Outpatient PTSD Services, LLC

  dba Props

  • Clinical Psychologist
  • Douglasville, GA
  • NPI 1215357272
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1154420214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559B SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 CA-104",
            "city": "IONE,",
            "state": "CA",
            "postal_code": "95640",
            "telephone_number": "415-547-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-MITCHELL",
        "first_name": "FELICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36757",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025430",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "BERRY",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Inez Anderson, PSY.D.
• Allison L.V. Andres, PSY.D.
• Bradley Archibald, DDS
• Robert Charles Arnold, PH.D.
• Wayne J Batalo, PHARMD
• Anthony Lewis Bowers, LCSW
• Vickie Caldwell
• Emily Campbell
• Christian Alexander Carter, PAC
• CDCR

• Psychologist in Ione, CA
• Providers in Ione, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.