Heather Marie Berberet, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16920 Issued in CA

Practice address

3101 4TH Ave
San Diego, CA 92103-5802

Phone

(619) 379-8513

NPI assigned

Feb 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Heather M Berberet Psychology, Inc

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1316845266
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194863357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035802",
            "telephone_number": "619-379-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035802",
            "telephone_number": "619-379-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERBERET",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goytom Beraki, M.S., BCBA
• Abigail Catherine Berard
• Kevin Berardi, PA-C
• Paul Stephen Berardi, PT, DPT
• Victoria Berardi
• Terri Marie Bercasio
• Aidan Berchek
• Robert Solomon Bercovitch, MD
• Sondra K Berdon, RPH
• Shira Berdugo

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.