Sharon Lee Berry, PHD, LP, ABPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

MN3625 Issued in MN

Practice address

Berry Psychological Services
3340 Republic Avenue, Suite 120
St. Louis Park, MN 55426-4154

Phone

(612) 916-5605

Fax

(612) 813-8263

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1568457927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 WEBSTER AVENUE SOUTH",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554161845",
            "telephone_number": "612-916-5605",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BERRY PSYCHOLOGICAL SERVICES",
            "address_2": "3340 REPUBLIC AVENUE, SUITE 120",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554264154",
            "telephone_number": "612-916-5605",
            "fax_number": "612-813-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHARON",
        "middle_name": "LEE",
        "credential": "PHD, LP, ABPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "MN3625",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP3625",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "MN3625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339214700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Berling, OTR/L
• Laine Cecily Hartwell Bermansohn, LPCC
• Susan J Bermel, CRNA
• Carrie Rose Berndt Alonso, LPN
• Chloe N Bernens, PA-C
• Kathryn Jean Berscheit, CNM
• Kelly Bertenshaw
• Tawny Bertini
• Lawrence J Bertram, MD
• Peter A. Berven, DDS

• Clinical Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.