Individual provider Active NPI

Barry D. Berger, PH.D.

  • Clinical Psychologist
  • Mission, TX
National Provider Identifier
1780677575
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-4485 Issued in TX
Practice address
2504 N Conway Ave
Mission, TX 78574-2349
Phone
(956) 519-9000
Fax
(956) 519-7722
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2-4485 TX Primary

Addresses

Primary practice location

2504 N Conway Ave
Mission, TX 78574-2349

Mailing address

2504 N Conway Ave
Mission, TX 78574-2349
Phone (956) 519-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050202000148 TX Practitioner - Clinical Psychologist 0244280055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2504 N Conway Ave
Mission, TX 78574-2349
Phone (956) 519-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-4485TXMDClinical Psychologist
24485TXMDGeneral Practice Dentistry
4485TXMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Psychological Center, P.a. CurrentSince Sep 23, 1997 Accepting new patients

Locations

2504 N Conway Ave
Mission, TX 78574
Phone (856) 519-9000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780677575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742349",
            "telephone_number": "956-519-9000",
            "fax_number": "956-519-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742349",
            "telephone_number": "956-519-9000",
            "fax_number": "956-519-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "BARRY",
        "middle_name": "D.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.