Susan D. Berry, Ma, LMHC, P.a.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH7592 Issued in FL

Legal business name

SUSAN D. BERRY, MA, LMHC, P.A.

Doing business as

Central Core Institute

Practice address

30 N Grove St
Suite C
Merritt Island, FL 32953-3530

Phone

(321) 863-0599

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan D. Berry, LMHC

Title

President, Director

Phone

(321) 863-0599

Specialties & licenses 1

Addresses

Other names 1

• Central Core Institute Doing business as

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902024052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GROVE ST",
            "address_2": "SUITE C",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533530",
            "telephone_number": "321-863-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N GROVE ST",
            "address_2": "SUITE C",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533530",
            "telephone_number": "321-863-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN D. BERRY, MA, LMHC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT, DIRECTOR",
        "authorized_official_telephone_number": "321-863-0599",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Core Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.