DR. PATRICE J BERRY (NPI# 1790093961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790093961 |
| Entity Type | Individual |
| Full Name | DR. PATRICE J BERRY |
| Credential | PSY.D. |
| Practice Address |
615 Jefferson Davis Hwy Ste 202 Fredericksburg VA 22401-8407 |
| Practice Telephone | 5403007004 |
| Practice Fax Number | 5406275094 |
| Mailing Telephone | 5403007004 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004308 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1649506940 | 05 | |
| VA | 200125300 | 05 |
| Street Address |
615 JEFFERSON DAVIS HWY STE 202 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649524604 | Sarah F Fischer-etu | Psychologist | 510 Princess Anne St Ste 101, Fredericksburg, VA 22401-6077 | 2012-10-30 |
| 1265798102 | Simply Counseling, LLC | Psychologist | 10500 Wakeman Dr Ste 240, Fredericksburg, VA 22407-8012 | 2012-04-04 |
| 1568777621 | Elisabeth Margaret Jerome | Psychologist | 510 Princess Anne St, Suite 101, Fredericksburg, VA 22401-6077 | 2010-08-13 |
| 1467766386 | Robyn A Van Brunt | Psychologist | 615 Jefferson Davis Hwy Ste 101, Fredericksburg, VA 22401-8407 | 2010-08-03 |
| 1902074982 | Laurencia C.d.l. Dusantos | Psychologist | 904 Princess Anne St Ste 402, Fredericksburg, VA 22401-5804 | 2008-02-13 |
| 1538359054 | William Edward Lynch IIi | Psychologist | 4607 Harrison Rd, Fredericksburg, VA 22408-1838 | 2007-07-31 |
| 1245420819 | Cynthia Gustafson Repanshek | Psychologist | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2007-07-30 |
| 1003979428 | Peak Mental Health Services, Pllc | Psychologist | 1133 Heatherstone Dr Ste 102, Fredericksburg, VA 22407-4828 | 2006-12-18 |
| 1124197579 | Michelle Sjolinder | Psychologist | 4020 Plank Rd, Unit A, Fredericksburg, VA 22407-4800 | 2006-11-07 |
| 1538250311 | Paul Edmond Prince Sr. | Psychologist | 810 Westwood Office Park Racdc, Fredericksburg, VA 22401-5121 | 2006-09-27 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on DR. PATRICE J BERRY.
| 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.