Active NPI
Matthew Berry, M.A.
- Speech-Language Pathologist
- Germantown, TN
National Provider Identifier
1952182735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 349
- Practice address
- 2018 Exeter Rd
Germantown, TN 38138-3945 - Phone
- (901) 756-4499
- NPI assigned
- Oct 9, 2023
- Last updated
- Oct 9, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 349 | TN | Primary |
Addresses
Primary practice location
2018 Exeter Rd
Germantown, TN 38138-3945
Mailing address
2583 Everett Ave
Memphis, TN 38112-3817
Phone (901) 461-2841
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Whiteley Massey | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Germantown Speech, Language, and Learning Clinic
- Speech-Language Pathologist
- Germantown, TN
- NPI 1083011779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1952182735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2583 EVERETT AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123817",
"telephone_number": "901-461-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 EXETER RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383945",
"telephone_number": "901-756-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MATTHEW",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.