Eloise J Berry, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS-018232 Issued in PA

Practice address

14 S Bryn Mawr Ave Ste 205
Bryn Mawr, PA 19010-3216

Phone

(610) 525-4828

NPI assigned

Jan 24, 2006

Last updated

Mar 8, 2021By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Bradley C Norford PHD PC

  dba Bryn Mawr Psychological Associates

  • Clinical Psychologist
  • Bryn Mawr, PA
  • NPI 1326180654
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1427028489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE STE 205",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-525-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE STE 205",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-525-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Northfield Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524747",
            "country_code": "US",
            "telephone_number": "551-208-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELOISE",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00415300",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS-018232",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "SI00415300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060836",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hava Bergdoll, LCSW
• Michelle Andrea Berger, LPT
• Leigh S Bergmann, M.D.
• Brian Berman, PSY.D.
• Guy T Bernstein, MD
• Saya Bery, MD
• BFPS PC
• Amit N Bhojwani, D.O.
• Anthony Michael Bianchi, M.D., D.M.D.
• Michael Anthony Bianchi, D.D.S.

• Counseling Psychologist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.