Stacey M. Berry, PSY.D.
NPI 1518369958ActiveIndividual· Psychologist· Portland, OR
Psychologist (PSY.D.) in Portland, Oregon, licensed in OR and MO, with an NPI issued in September 2014. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1518369958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Sep 17, 2014 |
| Last updated in NPPES | Aug 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2993 | OR |
| Psychologist, Clinical | 103TC0700X | 2014033259 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|
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