Traci Aaron Berry-Harris, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

971 Issued in WV

Practice address

1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868

Phone

(304) 598-2300

Fax

(304) 598-2307

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Cardinal Pediatrics PLLC

  • Pediatrics Physician
  • Morgantown, WV
  • NPI 1548272651
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1770734972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053868",
            "telephone_number": "304-598-2300",
            "fax_number": "304-598-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053868",
            "telephone_number": "304-598-2300",
            "fax_number": "304-598-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-HARRIS",
        "first_name": "TRACI",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berardi Eyecare LLC
• Dawn Berardi, OPTICAIN
• Jennifer Marie Bergeron, MD
• Katherine Louise Bergman
• Sarah Suzannah Bernosky, APRN-CNP
• Brian Berry, CRNA
• James H Berry, D.O.
• Jonathon M Berry, BA
• Joyce Lanham Berryman, MS,CCC/SLP
• Sara Chalak Berzingi

• Counseling Psychologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Counseling Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.