Rachael D Berg-Martinez, PH.D., PMH-C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26730 Issued in CA

Practice address

160 S Old Springs Rd Ste 135
Anaheim, CA 92808-1285

Phone

(657) 215-7374

NPI assigned

Sep 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 16, 2021 through Apr 16, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Center for Individual and Family Therapy

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1124470232
  NPD (past)

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1982937892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 135",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081285",
            "telephone_number": "657-215-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 135",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081285",
            "telephone_number": "657-215-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG-MARTINEZ",
        "first_name": "RACHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D., PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019003",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter F. Berberich Jr., MD
• John Berberich IV, RADT
• Alexander G. Berdy, MD
• Sherry Bereki
• Roxane Marie Berenbeim, OTR/R, RN
• Robert Berger, DDS
• Michael Bergeron
• Ned Harlow Bergert, MS ATC PTA
• Steve Bergier, MD
• Sallye Bergland, MA, BCBA

• Clinical Psychologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.