Felicia L Berry-Mitchell, PHD
Individual provider Active NPI Psychologist · Ione,, CA
NPI 1154420214 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1154420214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 36757 (CA)
- Practice address
- 4001 Ca-104
Ione,, CA 95640 - Phone
- (415) 547-0764
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003237 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Residential & Outpatient PTSD Services (Props) | Past | Accepting new patients | |
| Providence Residential & Outpatient PTSD Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36757 | CA | Yes |
| Psychologist | 103T00000X | 025430 | NY | |
| Psychologist | 103T00000X | PSY003237 | GA |
Addresses
Primary practice location
4001 Ca-104
Ione,, CA 95640
Mailing address
1559B Sloat Blvd
San Francisco, CA 94132-1222
Other names
- Dr. Felicia L. Berry
Other providers in Ione,, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.