George Christopher Berry, PH.D.
Individual provider Active NPI Clinical Psychologist · Apache Junction, AZ
NPI 1568533024 · NPPES record last updated Dec 22, 2008
Key facts
- NPI
- 1568533024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3459 (AZ)
- Practice address
- 288 N Ironwood Dr
Suite 110
Apache Junction, AZ 85220-3830 - Phone
- (480) 982-2356
- Fax
- (480) 982-2449
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2015 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3459 | AZ | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3459 | AZ | Yes |
Addresses
Primary practice location
288 N Ironwood Dr
Suite 110
Apache Junction, AZ 85220-3830
Mailing address
PO Box 1154
Centerville, UT 84014-5154
Phone (480) 982-2356
Other providers in Apache Junction, AZ
- Michael Shane Barrett
- Maria Baugh
- Dawn M Baumgartner
- Shana J Bean
- Breanna Bennett
- Alethea Bessire
- Better Living Care Home
- Better Senior Carehome LLC
- Manu Bhakoo
- Nicholas Ryan Bibeau
All providers in Apache Junction, AZ · Clinical Psychologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.