JEFFREY THOMAS BERRY


Address: 1710 Pebble Beach Pl., Merced, CA 95340
Phone: 2093889270

JEFFREY THOMAS BERRY (NPI# 1144374430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144374430
Entity Type Individual
Full Name JEFFREY THOMAS BERRY
Practice Address 1710 Pebble Beach Pl.
Merced
CA 95340
Practice Telephone 2093889270
Mailing Telephone 2093889270
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA ACTIVTY LEADER STATE CERTIFICATE 01

Other Providers JEFFREY BERRY

NPI Name Taxonomy Address Enumeration
1295248870 Jeffrey Berry Social Worker 409 Lexington St, Waltham, MA 02452-0933 2017-11-06
1790219210 Jeffrey Cal Berry Family Medicine 9411 N Oak Trfy Ste 100, Kansas City, MO 64155-2262 2017-04-12
1598139008 Jeffrey Berry Physical Therapy Assistant 2 Blackberry Ln, Bennington, VT 05201-2300 2015-11-20
1487638425 Jeffrey G Berry Anesthesiology 1111 N Lee Ave, Ste 236, Oklahoma City, OK 73103-2600 2005-12-02

Office Location

Street Address 1710 PEBBLE BEACH PL.
City MERCED
State CA
Zip Code 95340

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063045706 Pharmedquest Pharmacy Services Pharmacy 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 2020-02-21
1548809668 Michelle Melara Behavior Technician 3313 G Street, Suite B, Merced, CA 95340 2020-01-06
1417593070 Emilio Jose Guzman Behavior Technician Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 2019-11-19
1477106383 Anita Leigh Johnson Nurse Practitioner 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 2019-07-19
1609439470 Bobby Shan Student in an Organized Health Care Education/Training Program Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 2019-04-17
1508333253 Golden Valley Health Center Clinic/Center 3940 Sandpiper Ave., Merced, CA 95340 2018-10-31
1386136430 Valley River Orthopedics and Sports Medicine Orthopaedic Surgery Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 2018-06-05
1841702271 Tou Chang Pharmacist 3350 G Street, Merced, CA 95340 2017-10-25
1154842466 Miller and Skinner Dental Corporation Dentist 560 W. 26th St., Merced, CA 95340 2017-06-28
1053859314 Creative Alternatives, Inc Residential Treatment Facility, Emotionally Disturbed Children 2025 E. Santa Fe Dr., Merced, CA 95340 2017-02-07
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336750025 Harvey Soza Case Manager/Care Coordinator 2764 Madrid Ave, Merced, CA 95348-1337 2020-08-14
1457995581 Arleen Lopez Case Manager/Care Coordinator 1209 Devonwood Dr Apt 101, Merced, CA 95348-1710 2019-11-01
1669036281 Cheng Thao Case Manager/Care Coordinator 301 E 13th St Ste E, Merced, CA 95341-6211 2019-04-29
1922566025 Michelle Chao Lee Case Manager/Care Coordinator 3360 North Hwy 59 Suite K, Merced, CA 95348 2019-03-07
1942779558 Naly Thao Case Manager/Care Coordinator 3360 N Highway 59 Ste 9, Merced, CA 95348-9404 2018-11-13
1093209488 Cierra Nicole Sweet Case Manager/Care Coordinator 490 E 13th St, Merced, CA 95341 2018-06-19
1801398839 Elisabet Pulido Case Manager/Care Coordinator 3360 N State Hwy 59, K, Merced, CA 95348 2018-03-06
1780105346 Cristian Gerardo Rendon Case Manager/Care Coordinator 89 E Sonoma St, Merced, CA 95341-7003 2017-07-04
1881134997 Carolina Romero Case Manager/Care Coordinator 3360 N Hwy Suite K, Merced, CA 95348 2017-03-08
1114465390 Emily Valentine Case Manager/Care Coordinator 3360 N State Highway 59, Suite K, Merced, CA 95348-9404 2017-02-07
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Competitor

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City MERCED
Zip Code 95340

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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