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ROSE BARRY
NPI 1144989898
Psychologist - Clinical in Berkeley, CA

Active since December 09, 2021Opted out of Medicare · through Oct 25, 2027
1708 SHATTUCK AVE, BERKELEY, CA 94709(510) 849-9884 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Barry NPPES

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

ROSE BARRY (NPI 1144989898) is an individual clinical provider in Berkeley, California, licensed in California (PSY13892) and active in the NPI registry since December 2021. She has opted out of Medicare through October 25, 2027.

NPPES Registry Identity

NPI1144989898
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameROSE BARRY
Location Address1708 SHATTUCK AVEBerkeley, CA 94709-1700
Mailing Address1708 Shattuck AveBerkeley, CA 94709-1700 · (510) 849-9884
Phone(510) 849-9884
Sole ProprietorYes
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1144989898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY13892
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY13892 (CA)
1708 SHATTUCK AVE, Berkeley, CA 94709
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rose Barry 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 October 25, 2023 through October 25, 2027.

Opt-Out Effective DateOctober 25, 2023
Opt-Out In Effect ThroughOctober 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURENCE KAPLAN
Psychologist (Clinical)
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (510) 549-3939
DR. ELAYNE CHOU PH.D.
Psychologist
1708 SHATTUCK AVE, SUITE 2
BERKELEY, CA 94709
Alameda County (510) 435-9773
MS. MARGEAUX ROSETTE LIEBERMAN PSY.D.
Psychologist
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (510) 289-4812
MARY JO AHLBORN M.A., MFT
Marriage & Family Therapist
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (415) 388-8443
MS. SALLY C. COHEN MFT
Counselor (Professional)
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (510) 845-5617
MS. JESSICA JILL BRUGEL LCSW
Social Worker (Clinical)
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (510) 282-4146
CAROL HIRTH LCSW
Social Worker (Clinical)
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (510) 524-9064
PETER E TICHENOR M.F.T.
Marriage & Family Therapist
1708 SHATTUCK AVE
BERKELEY, CA 94709
Alameda County (510) 525-2411

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 Rose Barry's NPI number?

The NPI number for Rose Barry is 1144989898. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Rose Barry located?

Rose Barry practices at 1708 Shattuck Ave, Berkeley, CA 94709. The listed phone number is (510) 849-9884.

What is Rose Barry's specialty?

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

Is Rose Barry enrolled in Medicare?

No. Rose Barry has opted out of Medicare through October 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rose Barry was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.