Active NPI
Sharine Nicole Berry, M.A.
- Marriage & Family Therapist
- Sterling Heights, MI
National Provider Identifier
1558703272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4151001099
- Practice address
- 13854 Lakeside Cir
Sterling Heights, MI 48313-1443 - Phone
- (248) 403-5000
- NPI assigned
- Jul 23, 2013
- Last updated
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4151001099 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Therapy Clinic | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Southfield, MI
- NPI 1053930180
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.