KEVIN B BERRY (NPI# 1982777611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982777611 |
| Entity Type | Individual |
| Full Name | KEVIN B BERRY |
| Credential | MA, LMFT |
| Practice Address |
4202 W Mcgaffey St Roswell NM 88203-9384 |
| Mailing Address |
505 Park Dr Roswell NM 88201-6573 |
| Practice Telephone | 5756236749 |
| Practice Fax Number | 5756231322 |
| Mailing Telephone | (575) 317-8099 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0084641 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083889638 | Kevin Andrew Berry | Physical Medicine & Rehabilitation | 2001 Nw Newcastle St, Roseburg, OR 97471-1657 | 2008-04-24 |
| 1003998485 | Kevin Shawn Berry | Dentist | 1660 S Albion St #1008, 1008, Denver, CO 80222-4047 | 2006-10-19 |
| 1487653861 | Kevin J Berry | Internal Medicine | 380 Merrimack St, Ste. 2d, Methuen, MA 01844-5870 | 2005-07-19 |
| 1952839870 | Kevin Berry | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-05-24 |
| 1174961866 | Kevin Michael Berry | Physical Medicine & Rehabilitation | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3164 | 2013-06-05 |
| 1558626390 | Kevin Berry | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2012-07-09 |
| 1720124217 | Kevin R Berry | Internal Medicine | 7277 Smiths Mill Rd, Suite # 250, New Albany, OH 43054-8195 | 2007-01-30 |
| 1932173424 | Kevin Gelzer Berry | Pediatrics | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-02-14 |
| 1528048626 | Kevin Berry | Nurse Anesthetist, Certified Registered | 499 Azalea Dr, Oxford, MS 38655 | 2006-01-17 |
| Street Address |
4202 W MCGAFFEY ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-9384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215325 | Leann M Chavez | Social Worker | 4202 W Mcgaffey St, Roswell, NM 88203-9384 | 2017-06-15 |
| 1740315514 | The Peak At Santa Teresa, Inc. | Community/Behavioral Health | 4202 W Mcgaffey St, Roswell, NM 88203-9384 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881169852 | Susannah Bales | Marriage & Family Therapist | 900 Old Roswell Lakes Pkwy Ste 200, Roswell, GA 30076-8665 | 2018-10-05 |
| 1083135552 | Luna Y Sol Life Services | Marriage & Family Therapist | 2001 W 4th St, Roswell, NM 88201-1752 | 2017-07-05 |
| 1821540170 | Charles Stokes | Marriage & Family Therapist | 500 Sun Valley Dr Ste C1, Roswell, GA 30076-5641 | 2016-11-02 |
| 1841645389 | Madison Clark | Marriage & Family Therapist | 11615 Northgate Trl, Roswell, GA 30075-2335 | 2016-05-03 |
| 1457586018 | Michelle Codington Rogers | Marriage & Family Therapist | 139 Autumn Ridge Trail, Roswell, GA 30076 | 2009-05-26 |
| 1881861318 | Linda Carol Fredo | Marriage & Family Therapist | 9860 Bankside Dr, Roswell, GA 30076-3767 | 2008-05-14 |
| 1508032913 | Alan Autry Garrison | Marriage & Family Therapist | 10927 Crabapple Rd, Roswell, GA 30075-3032 | 2008-05-06 |
| 1174662415 | Dawn M Foster | Marriage & Family Therapist | 595 Colonial Park Dr Ste 301, Roswell, GA 30075-3788 | 2007-02-05 |
| 1467598425 | Jamae Therese Marcinko | Marriage & Family Therapist | 700 Old Roswell Lakes Pkwy Ste 350, Roswell, GA 30076 | 2007-01-29 |
| 1588714182 | Doyle R. Hamilton IIi | Marriage & Family Therapist | 710 Mimosa Blvd, Roswell, GA 30075-4408 | 2007-01-12 |
| Find all providers in ROSWELL | ||||
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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.