EBONY M BERRYMAN (NPI# 1669088415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669088415 |
| Entity Type | Individual |
| Full Name | EBONY M BERRYMAN |
| Practice Address |
15095 Amargosa Rd Ste 208 Victorville CA 92394-1879 |
| Practice Telephone | 7602454695 |
| Mailing Telephone | 7602454695 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
15095 AMARGOSA RD STE 208 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92394-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720173446 | Deborah S. Reno-smith | Counselor | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2006-10-04 |
| 1295340909 | Heather Perkins | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-09-09 |
| 1619588944 | Dulcinea R Catota | Case Manager/Care Coordinator | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-08-11 |
| 1851909105 | Pauline Sabrina De Pinto | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-07-22 |
| 1427666890 | Paige Jeannine Masters | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-07-21 |
| 1538781430 | Gloria Eitile | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-05-13 |
| 1972143105 | Anthony Guinn | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2020-01-15 |
| 1275171027 | Stacey Marie Bailey | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2019-12-11 |
| 1801438437 | Tanis Buchananan | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2019-10-15 |
| 1861033193 | Shawnisha Swayzer | Community Health Worker | 15095 Amargosa Rd Ste 208, Victorville, CA 92394-1879 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1164604906 | Maxim Healthcare Services, Inc. | Home Health | 15095 Amargosa Road, Suite 102, Victorville, CA 92394 | 2007-12-04 |
| Find all providers in zip 92394 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1467065789 | Jennifer Alejandra Partida | Counselor | 12650 Sundown Rd, Victorville, CA 92392-7512 | 2020-08-26 |
| 1063078251 | Innerpeace Therapy | Counselor | 15437 Anacapa Rd # 23, Victorville, CA 92392-2458 | 2019-05-14 |
| 1710467659 | Harry Lee Jackson | Counselor | 17845 Ironwood Lane, Victorville, CA 92395-9239 | 2018-08-20 |
| 1114351954 | Diane Inez Garcia-becker | Counselor | 9075 Svl Box, 12905 Rolling Ridge Drive, Victorville, CA 92395-5146 | 2013-08-28 |
| 1720330897 | Renae Devolld | Counselor | 13748 Valera Way, Victorville, CA 92392-6372 | 2012-10-12 |
| 1295083871 | Stephanie Denise Williams | Counselor | 15095 Amargosa Rd. Suite 201, Victorville, CA 92395 | 2012-08-29 |
| 1902153646 | Charles Nwufo | Counselor | 14338 Park Ave Ste 200, Victorville, CA 92392-2925 | 2012-08-13 |
| 1760760797 | Jacqueline Rene Bond | Counselor | 14318 California Ave, Ste. 101, Victorville, CA 92392-2389 | 2011-07-25 |
| 1275783672 | Ellen-ruby S. Santos | Counselor | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1868 | 2008-09-23 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92394 |
Please comment or provide details below to improve the information on EBONY M BERRYMAN.
| 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.