Individual provider Active NPI

Barbara Elaine Berti, PH.D.

  • Clinical Psychologist
  • Lansing, MI
National Provider Identifier
1730194143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005012 Issued in MI
Practice address
1322 E Michigan Ave
Suite 111
Lansing, MI 48912-2199
Phone
(517) 371-4347
Fax
(517) 371-4347
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301005012 MI Primary

Addresses

Primary practice location

1322 E Michigan Ave
Suite 111
Lansing, MI 48912-2199

Mailing address

1322 E Michigan Ave
Suite 111
Lansing, MI 48912-2199
Phone (517) 371-4347

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301005012MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730194143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "address_2": "SUITE 111",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122199",
            "telephone_number": "517-371-4347",
            "fax_number": "517-371-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "address_2": "SUITE 111",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122199",
            "telephone_number": "517-371-4347",
            "fax_number": "517-371-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTI",
        "first_name": "BARBARA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.