Active NPI
Kari L. Berquist, PHD
- Clinical Child & Adolescent Psychologist
- Menlo Park, CA
National Provider Identifier
1184905069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY24441
- Practice address
- 1030 Curtis St Ste 203
Menlo Park, CA 94025-4521 - Phone
- (650) 701-3200
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY24441 | CA | Primary |
Addresses
Primary practice location
1030 Curtis St Ste 203
Menlo Park, CA 94025-4521
Mailing address
1030 Curtis St Ste 203
Menlo Park, CA 94025-4521
Phone (650) 701-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24441 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1184905069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 CURTIS ST STE 203",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254521",
"telephone_number": "650-701-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 CURTIS ST STE 203",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254521",
"telephone_number": "650-701-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERQUIST",
"first_name": "KARI",
"middle_name": "L.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY24441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.