Organization Active NPI

Janon Berry

  • Preferred Provider Organization
  • Philadelphia, PA
National Provider Identifier
1518346451
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
37PC00503200 Issued in NJ
Legal business name
JANON BERRY
Practice address
457 Van Kirk St
Philadelphia, PA 19120-1120
Phone
(570) 763-9443
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Janon Berry, LPC
Title
Psychotherapist
Phone
(570) 763-9443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PC006772 PA
Preferred Provider Organization 305R00000X 37PC00503200 NJ Primary

Addresses

Primary practice location

457 Van Kirk St
Philadelphia, PA 19120-1120

Mailing address

457 Van Kirk St
Philadelphia, PA 19120-1120
Phone (570) 763-9443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1518346451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VAN KIRK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201120",
            "telephone_number": "570-763-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 VAN KIRK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201120",
            "telephone_number": "570-763-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANON BERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JANON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "570-763-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "PC006772",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "37PC00503200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.