John Douglas Berridge, M.S., LLP
Individual provider Active NPI Cognitive & Behavioral Psychologist · Adrian, MI
NPI 1992946826 · NPPES record last updated Mar 24, 2009
Key facts
- NPI
- 1992946826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- License
- 6301007547 (MI)
- Practice address
- 1040 S Winter St
Suite 1022
Adrian, MI 49221-3876 - Phone
- (517) 263-8905
- Fax
- (517) 265-8237
- NPI assigned
- Mar 24, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007547 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenawee Community Mental Health Authority | Past |
Accepting new patients | |
| Lenawee Community Mental Health Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301007547 | MI | Yes |
| Clinical Psychologist | 103TC0700X | 6301007547 | MI |
Addresses
Primary practice location
1040 S Winter St
Suite 1022
Adrian, MI 49221-3876
Mailing address
1040 S Winter St
Suite 1022
Adrian, MI 49221-3876
Phone (517) 263-8905
Other providers in Adrian, MI
- Andrea Benschoter
- Ann Marie Benschoter
- Steven Benz
- Hannah Berenson
- Kellie Berger
- Kathleen J/ Betzoldt
- Hemlata Bhaskar
- David Jon Bilotta
- Elisabeth Ann Binegar
- Bio-Medical Applications of Michigan, Inc.
All providers in Adrian, MI · Cognitive & Behavioral Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.