MARLA D BERRY (NPI# 1730462664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730462664 |
| Entity Type | Individual |
| Full Name | MARLA D BERRY |
| Credential | PH.D. |
| Practice Address |
3102 E. Highland Avenue Medical Staff Office Patton CA 92369 |
| Practice Telephone | 9094257679 |
| Practice Fax Number | 9094256635 |
| Mailing Telephone | 9094257679 |
| Mailing Fax Number | 9094256635 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24513 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972853182 | Marla Berry | Pharmacist | 244 S Hall Rd, Alcoa, TN 37701-2642 | 2012-09-14 |
| Street Address |
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE |
| City | PATTON |
| State | CA |
| Zip Code | 92369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1689185753 | Lorenzo Valdez | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-10-17 |
| 1356868210 | Cheri-lyn Kaye Fahlgren Romero | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-23 |
| 1427574300 | Theresa C Wright | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-22 |
| 1487179842 | Deanna Nicole Reyes | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-07 |
| 1831611896 | Yadira Mcneal | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-07-12 |
| 1538681507 | Darrell W Steinmetz | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-07-12 |
| 1447771381 | Ninha M Simms | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-06-30 |
| 1073034922 | Jose J Quiroz | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-06-30 |
| 1316467681 | Adrienne M Cardinale | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| 1619336302 | Melissa Ann Jajko | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-02-23 |
| 1598135857 | Adrianne Valda Nelson | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2015-09-30 |
| 1376974113 | Parnian M Toofanian Ross | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-12-04 |
| 1194161679 | Piyonik Hartounian | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-05-10 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1760750111 | Elba I Campos | Psychologist | 3102 East Highland Avenue, Patton, CA 92369 | 2011-12-13 |
| 1720361926 | Jennifer Marie Utley Buensuceso | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-23 |
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| 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.