Individual provider Active NPI

Kimberlee Caroline Berry-Sawyer, PHD

  • Clinical Psychologist
  • Chattanooga, TN
National Provider Identifier
1992850408
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2607 Issued in TN
Practice address
3209 Ozark Cir
Chattanooga, TN 37415-5107
Phone
(423) 243-6039
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000002607 TN
Clinical Psychologist 103TC0700X 2607 TN Primary

Addresses

Primary practice location

3209 Ozark Cir
Chattanooga, TN 37415-5107

Mailing address

PO Box 4362
Chattanooga, TN 37405-0362
Phone (423) 243-6039

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2607TNMDClinical Psychologist
P0000002607TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Centers Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1992850408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4362",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374050362",
            "telephone_number": "423-243-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 OZARK CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374155107",
            "telephone_number": "423-243-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-SAWYER",
        "first_name": "KIMBERLEE",
        "middle_name": "CAROLINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002607",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.