Leticia Melanie Berg, MA, MLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007814 Issued in MI

Practice address

25217 Parkwood Dr
Huntington Woods, MI 48070-1739

Phone

(248) 436-4940

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Berg Psychotherapy Associates PLLC

  • Psychologist
  • Huntington Woods, MI
  • NPI 1053185835
  NPD Authorized official

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1295382836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113-1312",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "818-530-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25217 PARKWOOD DR",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701739",
            "telephone_number": "248-436-4940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Washtenaw Ave Ste 282",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481045184",
            "country_code": "US",
            "telephone_number": "734-436-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "LETICIA",
        "middle_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "MA, MLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6352000543",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah L Banas, DDS
• Umneet Kaur Banvait, DDS
• Daisy Vayesdy Barajas Mota, DMD
• Michelle Beth Bean, LMSW
• Berg Psychotherapy Associates PLLC
• Berkley Primary Care, PLC
• Berlin Therapy PLLC
• Abigail Jane Berlin, LMSW
• Christopher Neil Biek, LCSW
• Haden Bighouse

• Psychologist in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.