KARLEEN JO BERRY (NPI# 1407059991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407059991 |
| Entity Type | Individual |
| Full Name | KARLEEN JO BERRY |
| Other Name | KARLEEN JO SEKULSKI |
| Credential | MA,LLP |
| Practice Address |
1420 Plaza Dr Petoskey MI 49770-9420 |
| Mailing Address |
1034 Birchcrest Ct Harbor Springs MI 49740-9237 |
| Practice Telephone | 2313476701 |
| Practice Fax Number | 2313474370 |
| Mailing Telephone | 2315266512 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301011941 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1420 PLAZA DR |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182279 | Pamala Krasinski-wespiser | Counselor | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-12-26 |
| 1093274722 | Mark Braendle | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-03-12 |
| 1538674353 | Brooke Kleinert | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2017-12-04 |
| 1033587209 | Amy Jackson | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2015-09-04 |
| 1881060549 | North Country Community Mental Health | Community/Behavioral Health | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2015-08-18 |
| 1992136659 | Geraldine L Deyoung | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1487085064 | Sherri L Spencer | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1003247776 | Jessica J Kenyon | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1972933299 | Linda Brant | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-11-22 |
| 1598964496 | Karen Ferguson Bagwell | Social Worker | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2007-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942403449 | Natalie Weber | Psychologist | 1 Macdonald Dr Ste B, Petoskey, MI 49770-4406 | 2007-06-11 |
| 1083935142 | Zelma Josie Bennett | Psychologist | 704 Petoskey St, Petoskey, MI 49770-2793 | 2010-06-11 |
| 1760623433 | Michael John Lucido | Psychologist | 1 Macdonald Dr Ste B, Petoskey, MI 49770-4406 | 2009-03-10 |
| 1588874853 | Andrew Barclay Keller | Psychologist | 113 Howard St, Petoskey, MI 49770-4612 | 2007-05-23 |
| 1053478800 | Ronald Clemens Marshall | Psychologist | 2810 Charlevoix Ave, Petoskey, MI 49770-8421 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
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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.