Active NPI
Angela Berry
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1588716682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3320482
- Practice address
- 8900 N Central Ave Ste 108C
Phoenix, AZ 85020-2869 - Phone
- (602) 748-5200
- NPI assigned
- Jan 17, 2007
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| School Psychologist | 103TS0200X | 3320482 | AZ | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | LAC-18459 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LASAC-13294 | AZ | |
| School Counselor | 101YS0200X | 3320482 | AZ | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
8900 N Central Ave Ste 108C
Phoenix, AZ 85020-2869
Mailing address
8900 N Central Ave Ste 108C
Phoenix, AZ 85020-2869
Phone (602) 748-5200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-18459 | AZ | MD | Counselor |
| LASAC-13294 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 3320482 | AZ | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1588716682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 N CENTRAL AVE STE 108C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202869",
"telephone_number": "602-748-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N CENTRAL AVE STE 108C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202869",
"telephone_number": "602-748-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3320482",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-18459",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LASAC-13294",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "3320482",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.