Organization Active NPI

Jason S Berman, PHD, PLLC

  • Clinical Psychologist
  • Richardson, TX
National Provider Identifier
1194041301
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34212 Issued in TX
Legal business name
JASON S BERMAN, PHD, PLLC
Practice address
1475 Richardson Dr Ste 230
Richardson, TX 75080-4659
Phone
(214) 929-9244
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Jason S Berman, PH.DNPI 1427294115
Title
Owner/Licensed Psychologist
Phone
(214) 929-9244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 34212 TX Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2011006684 MO
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1945 KS

Addresses

Primary practice location

1475 Richardson Dr Ste 230
Richardson, TX 75080-4659

Mailing address

1475 Richardson Dr Ste 230
Richardson, TX 75080-4659
Phone (214) 929-9244

Other identifiers 2

IdentifierTypeStateIssuer
34212OtherTXTEXAS BOARD OF EXAMINERS OF PSYCHOLOGY
11987351OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131023002232 TX Part B Supplier - Clinic/Group Practice 6305071598 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087

1475 Richardson Dr
Ste 230
Richardson, TX 75080
Phone (214) 929-9244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1194041301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 RICHARDSON DR STE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804659",
            "telephone_number": "214-929-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 RICHARDSON DR STE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804659",
            "telephone_number": "214-929-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S BERMAN, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-929-9244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34212",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011006684",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF EXAMINERS OF PSYCHOLOGY",
            "identifier": "34212",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11987351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.