Pediatric Psychology Partners PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PEDIATRIC PSYCHOLOGY PARTNERS PC

Practice address

1760 Solano Ave Ste 302
Berkeley, CA 94707-2218

Phone

(508) 887-0445

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Samantha A Barry-Menkhaus, PHD

Title

Cofounder

Phone

(508) 887-0445

Specialties & licenses 1

Addresses

Other names 1

• Streamind Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilana Kellerman Moss, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1801128376
  NPD
• Samantha Aldea Barry

  • Psychologist
  • Worcester, MA
  • NPI 1568910065
  NPD

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1831994284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947070001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SOLANO AVE STE 302",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072218",
            "telephone_number": "508-887-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PSYCHOLOGY PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BARRY-MENKHAUS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "508-887-0445",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Streamind Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Streamind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Pearson
• George Y Pearson, PA-C BS
• Gina Pearson, RN
• Kamela Monique Peart, PSYD
• Renee Peck
• Cynthia Peery, PTA
• Robert Pelletier
• Jordan Gabriel Pelot, M.A., LMFT
• Rachael Arline Peltz, PH.D.
• Diana Pena, PH.D.

• Adolescent and Children Mental Health Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.