DR. CHARLES HENRY BERRY (NPI# 1447495106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447495106 |
| Entity Type | Individual |
| Full Name | DR. CHARLES HENRY BERRY |
| Credential | PSY.D. |
| Practice Address |
1525 E 53rd St Suite 934 Chicago IL 60615-4557 |
| Mailing Address |
6511 S Ingleside Ave Chicago IL 60637-4203 |
| Practice Telephone | 7736438088 |
| Mailing Telephone | 7736438088 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.006370 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588863955 | Charles Eric Berry | Physical Therapy Assistant | 5286 Alexander Road, Heartland Rehabilitation Services of Virginia Inc, Dublin, VA 24084 | 2007-07-16 |
| 1235205113 | Charles Alden Berry | Preventive Medicine | 10911 Riverview Dr, Houston, TX 77042-1335 | 2006-11-24 |
| 1528014495 | Charles Kennon Berry Sr. | Optometrist | 2900 Pepperell Parkway, Vision Center Store 0355, Opelika, AL 36801 | 2006-05-25 |
| 1740283258 | Charles Markham Berry IIi | Obstetrics & Gynecology | 42333 Deluxe Plz, Suite 7, Hammond, LA 70403-1239 | 2005-05-30 |
| 1497368849 | Charles Berry | Dentist | 8504 Del Webb Blvd, Las Vegas, NV 89134-8676 | 2020-08-26 |
| 1548883754 | Charles Berry | Physical Therapist | 1413 Fulton St, Brooklyn, NY 11216-2607 | 2020-05-21 |
| 1073162293 | Charles Berry | Pharmacist | 680 Highway 51 Ste G, Ridgeland, MS 39157-2103 | 2019-09-10 |
| 1205330578 | Charles Mats Berry | Pediatrics | 57 Highland Ave, Salem, MA 01970-2141 | 2018-03-21 |
| 1033237839 | Charles Franklin Berry | Physical Therapist | 1628 19th St, Lubbock, TX 79401-4832 | 2007-03-27 |
| 1548340565 | Charles Miles Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6804 S Canton Ave, # 110, Tulsa, OK 74136-3423 | 2006-10-16 |
| Street Address |
1525 E 53RD ST SUITE 934 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254675 | Kirsten Dana Belzer | Social Worker | 1525 E 53rd St, Suite 516-7, Chicago, IL 60615-4557 | 2005-09-05 |
| 1184279895 | Sociosecure Tech | Clinic/Center | 1525 E 53rd St, Chicago, IL 60615-4557 | 2019-08-08 |
| 1861988784 | Elizabeth Sorice | Social Worker | 1525 E 53rd St, Chicago, IL 60615-4557 | 2018-07-03 |
| 1568981629 | Stephanie Jacobstein Beiser | Social Worker | 1525 E 53rd St, Chicago, IL 60615-4557 | 2017-09-10 |
| 1255867297 | Lisa Brown-mullings | Counselor | 1525 E 53rd St, 630, Chicago, IL 60615-4557 | 2017-05-11 |
| 1891229662 | Dr Theresa Gregoire Ltd | Psychologist | 1525 E 53rd St, Suite 605, Chicago, IL 60615-4557 | 2017-04-18 |
| 1790226371 | Willow Tree Psychotherapy | Social Worker | 1525 E 53rd St, Suite 405, Chicago, IL 60615-4557 | 2017-03-15 |
| 1952849564 | Rebecca Hubbard Dba Grounded Power Psychological Consulting | Social Worker | 1525 E 53rd St, Suite 501, Chicago, IL 60615-4557 | 2017-02-02 |
| 1578015335 | Answers Lie Within Inc | Counselor | 1525 E 53rd St, Suite 425, Chicago, IL 60615-4557 | 2016-10-27 |
| 1417318916 | Jam Solutions LLC | Social Worker | 1525 E 53rd St, Suite 408, Chicago, IL 60615-4557 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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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.