Dr Christian Berrios PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8810 Issued in FL

Legal business name

DR CHRISTIAN BERRIOS PA

Practice address

2100 Ashley Oaks Cir
Wesley Chapel, FL 33544-6416

Phone

(813) 857-4467

Fax

(813) 907-9494

NPI assigned

Oct 14, 2013

Last updated

Oct 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christian Lillyana Berrios, PSY.D.NPI 1205269529

Title

Licensed Clinical Psychologist

Phone

(813) 857-4467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Berrios, PSY.D.

  • Clinical Psychologist
  • Wesley Chapel, FL
  • NPI 1205269529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1639507478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ASHLEY OAKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446416",
            "telephone_number": "813-857-4467",
            "fax_number": "813-907-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ASHLEY OAKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446416",
            "telephone_number": "813-857-4467",
            "fax_number": "813-907-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHRISTIAN BERRIOS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "LILLYANA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-857-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.