Mary Lynette Berst

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MARY LYNETTE BERST

Practice address

61645 Living Stone Dr
La Quinta, CA 92253-9394

Phone

(760) 902-9296

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Mary BerstNPI 1619295938

Title

Owner

Phone

(760) 902-9296

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary Berst, PHD, PSYCHOLOGIST

  • Psychologist
  • La Quinta, CA
  • NPI 1619295938
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1457030546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61645 LIVING STONE DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922539394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61645 LIVING STONE DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922539394",
            "telephone_number": "760-902-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LYNETTE BERST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "BERST",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-902-9296"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Brielle Marr
• Martin Sahakyan MD, a Professional Medical Corporation
• Anthony Renee Martinez
• Eugene Joseph Martinez
• Leslye Martinez, B.A.
• Hannah Ethel Mason, RPH
• Rodelyn Massucci
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.

• Psychologist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.