Active NPI
Carrie L. Berta, PSY.D.
- Psychologist
- Kent, OH
National Provider Identifier
1740625128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6918
- Practice address
- 1500 Eastway Dr
Kent, OH 44242-0001 - Phone
- (330) 672-8194
- Fax
- (330) 672-2272
- NPI assigned
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6918 | OH | Primary |
Addresses
Primary practice location
1500 Eastway Dr
Kent, OH 44242-0001
Mailing address
1500 Eastway Dr
Kent, OH 44242-0001
Phone (330) 672-8194
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 |
|---|---|---|---|
| 6918 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1740625128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 EASTWAY DR",
"city": "KENT",
"state": "OH",
"postal_code": "442420001",
"telephone_number": "330-672-8194",
"fax_number": "330-672-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EASTWAY DR",
"city": "KENT",
"state": "OH",
"postal_code": "442420001",
"telephone_number": "330-672-8194",
"fax_number": "330-672-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTA",
"first_name": "CARRIE",
"middle_name": "L.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.