Jovan Berry

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

010097632 Issued in LA

Practice address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone

(818) 345-2345

Fax

(000) 000-0000

NPI assigned

Dec 13, 2015

Last updated

Aug 5, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bruce Professional Counseling Services

  • Community/Behavioral Health Agency
  • Harahan, LA
  • NPI 1831561018
  NPD (past)

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1699140830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 Elmwood Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Harahan",
            "state": "LA",
            "postal_code": "701233360",
            "country_code": "US",
            "telephone_number": "504-733-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JOVAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "010097632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernstein Elite Sports Chiropractic Corp. (Elite Sports Medicine)
• Matthew David Bernstein, D.C.
• Nancy G. Bernstein, LCSW
• Diamond Alexis Berry
• Gabriel Alfred Berry
• Bershadsky Dental Corporation
• Peter Thomas Berwick, PH.D
• Daniel Besancon, MFT INTERN
• Shabnam Besimanto, M.D.
• Liv Z Bess

• Behavior Technician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.