DR. AMY BETH BERMAN
NPI 1144755646
Psychologist in Portland, OR

Active since April 22, 2017Opted out of Medicare · through Sep 15, 2027
12 SE 14TH AVENUE, SUITE 106, PORTLAND, OR 97214(503) 482-2800(503) 482-2844 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Jul 16, 2022, Apr 22, 2017 (3 updates tracked since 2017).

About Dr. Amy Beth Berman NPPES

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

DR. AMY BETH BERMAN (NPI 1144755646) is an individual psychologist in Portland, Oregon and active in the NPI registry since April 2017. She has opted out of Medicare through September 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144755646
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMY BETH BERMAN
Location Address12 SE 14TH AVENUE, SUITE 106Portland, OR 97214
Mailing Address10350 N Vancouver Way, Suite 63703Portland, OR 97217 · (503) 482-2800 · Fax (503) 482-2844
Fax(503) 482-2844
Sole ProprietorYes
Enumeration DateApril 22, 2017
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1144755646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
12 SE 14TH AVENUE, Portland, OR 97214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Amy Beth Berman has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 15, 2023 through September 15, 2027.

Opt-Out Effective DateSeptember 15, 2023
Opt-Out In Effect ThroughSeptember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Amy Berman's NPI number?

The NPI number for Amy Berman is 1144755646. It was assigned to this individual provider in the NPPES registry on April 22, 2017.

Where is Amy Berman located?

Amy Berman practices at 12 SE 14th Avenue Suite 106, Portland, OR 97214. The listed phone number is (503) 482-2800.

What is Amy Berman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amy Berman enrolled in Medicare?

No. Amy Berman has opted out of Medicare through September 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amy Berman was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.