Organization Active NPI

Reema S. Beri, PHD, LLC

  • Clinical Psychologist
  • Northville, MI
National Provider Identifier
1245831296
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
REEMA S. BERI, PHD, LLC
Practice address
21800 Haggerty Rd Ste 207
Northville, MI 48167-8981
Phone
(248) 719-4056
NPI assigned
Nov 5, 2020
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Reema Beri, PHDNPI 1619360047
Title
Owner
Phone
(248) 719-4056

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

21800 Haggerty Rd Ste 207
Northville, MI 48167-8981

Mailing address

49410 Waterstone Estates Cir
Northville, MI 48168-4900
Phone (248) 719-4056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108001748 MI Part B Supplier - Clinic/Group Practice 0244640647 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI

National Provider Directory

National Provider Directory

Locations

31500 Telegraph Rd
Ste 5
Bingham Farms, MI 48025
Phone (248) 621-0200

21800 Haggerty Rd
Ste 207
Northville, MI 48167
Phone (248) 719-4056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1245831296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49410 WATERSTONE ESTATES CIR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684900",
            "telephone_number": "248-719-4056",
            "fax_number": "248-621-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 HAGGERTY RD STE 207",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481678981",
            "telephone_number": "248-719-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMA S. BERI, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BERI",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-719-4056",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.