FOUR RIVERS PSYCHOLOGICAL SERVICES, LLC
NPI 1093348591
Psychologist - Clinical in Fredericksburg, VA

Q: What is Four Rivers Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 13, 2020

615 JEFFERSON DAVIS HWY STE 202, FREDERICKSBURG, VA 22401(540) 300-7004 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2020, Feb 13, 2020 (2 updates tracked since 2020).

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About Four Rivers Psychological Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR RIVERS PSYCHOLOGICAL SERVICES, LLC (NPI 1093348591) is a healthcare organization registered as a clinical in Fredericksburg, Virginia and active in the NPI registry since February 2020. The organization lists Patrice J Berry, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1093348591

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameFOUR RIVERS PSYCHOLOGICAL SERVICES, LLC

Location Address615 JEFFERSON DAVIS HWY STE 202Fredericksburg, VA 22401-8407

Mailing Address615 Jefferson Davis Hwy Ste 202Fredericksburg, VA 22401-8407 · (757) 810-0655 · Fax (540) 654-1400

Phone(540) 300-7004

Organization SubpartNo

Authorized OfficialPatrice J BerryClinical Psychologist · (540) 300-7004

Enumeration DateFebruary 13, 2020

Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration

✔ NPI 1093348591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

615 JEFFERSON DAVIS HWY STE 202, Fredericksburg, VA 22401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Four Rivers Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Four Rivers Psychological Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrice Berry, PSY.D.

Clinical Psychologist

NPI 1790093961

615 JEFFERSON DAVIS HWY STE 202
Fredericksburg, VA 22401

(540) 300-7004

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Rivers Psychological Services, LLC's NPI number?

The NPI number for Four Rivers Psychological Services, LLC is 1093348591. It was assigned to this organization in the NPPES registry on February 13, 2020.

Where is Four Rivers Psychological Services, LLC located?

Four Rivers Psychological Services, LLC is located at 615 Jefferson Davis Hwy Ste 202, Fredericksburg, VA 22401. The listed phone number is (540) 300-7004.

What is Four Rivers Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Four Rivers Psychological Services, LLC enrolled in Medicare?

Yes. Four Rivers Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Four Rivers Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Four Rivers Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Four Rivers Psychological Services, LLC was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.