Kelsey Berry-Tippett, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.010620 Issued in IL

Practice address

9301 Madison St
Crown Point, IN 46307-7745

Phone

(312) 569-8387

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kelsey Berry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1649798497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 MADISON ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077745",
            "telephone_number": "312-569-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 MADISON ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077745",
            "telephone_number": "312-569-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-TIPPETT",
        "first_name": "KELSEY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.010620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BERRY",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megen M Bentley, RBT
• Jeffrey Michael Berdine
• Arliza C Bernal, PT
• Faith Bernard, FNP
• Derek Robert Berquist, DMD
• Kristy Bertolo
• Talia Beshears, RBT
• Jason Besse, CRNA
• Jacob Biancardi, LMHC, CSAYC, NCC
• Kathryn Biegel, DPT

• Psychologist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.