Individual provider Active NPI

Sharine Nicole Berry, M.A.

  • Marriage & Family Therapist
  • Sterling Heights, MI
National Provider Identifier
1558703272
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4151001099 Issued in MI
Practice address
13854 Lakeside Cir
Sterling Heights, MI 48313-1443
Phone
(248) 403-5000
NPI assigned
Jul 23, 2013
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Marriage & Family Therapist 106H00000X 4151001099 MI Primary

Addresses

Primary practice location

13854 Lakeside Cir
Sterling Heights, MI 48313-1443

Mailing address

PO Box 183053
Utica, MI 48318-3053
Phone (248) 929-2207

Other practice location 1

26555 Evergreen Rd Ste 870
Southfield, MI 48076-4239
Phone (248) 430-0594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4151001099MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Therapy Clinic Marriage & Family Therapist PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1558703272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183053",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483183053",
            "telephone_number": "248-929-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131443",
            "telephone_number": "248-403-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26555 Evergreen Rd Ste 870",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480764239",
            "country_code": "US",
            "telephone_number": "248-430-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHARINE",
        "middle_name": "NICOLE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151001099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.