JASON S BERMAN, PHD, PLLC
NPI 1194041301
Psychologist - Clinical in Richardson, TX

Active since April 13, 2010
1475 RICHARDSON DR STE 230, RICHARDSON, TX 75080(214) 929-9244 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 15, 2025, Jan 25, 2022 (2 updates tracked since 2022).

About Jason S Berman, Phd, Pllc NPPES

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

JASON S BERMAN, PHD, PLLC (NPI 1194041301) is a healthcare organization registered as a clinical in Richardson, Texas and active in the NPI registry since April 2010. The organization lists Jason S Berman, Owner/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1194041301
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJASON S BERMAN, PHD, PLLC
Location Address1475 RICHARDSON DR STE 230Richardson, TX 75080-4659
Mailing Address1475 Richardson Dr Ste 230Richardson, TX 75080-4659 · (214) 929-9244
Organization SubpartNo
Authorized OfficialJason S BermanOwner/licensed Psychologist · (214) 929-9244
Enumeration DateApril 13, 2010
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1194041301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in TX · 34212✔ Licensed in KS · 1945✔ Licensed in MO · 2011006684
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.
1475 RICHARDSON DR STE 230, Richardson, TX 75080

Other Identifiers 2

Other34212TX · Texas Board Of Examiners Of Psychology
Other11987351Caqh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason S Berman, Phd, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20131023002232Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jason S Berman, Phd, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1427294115
1721 W PLANO PKWY STE 107
Plano, TX 75075
(214) 929-9244
✔ PECOS✔ Accepts Medicare2.7 mi

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 Jason S Berman, Phd, PLLC's NPI number?

The NPI number for Jason S Berman, Phd, PLLC is 1194041301. It was assigned to this organization in the NPPES registry on April 13, 2010.

Where is Jason S Berman, Phd, PLLC located?

Jason S Berman, Phd, PLLC is located at 1475 Richardson Dr Ste 230, Richardson, TX 75080. The listed phone number is (214) 929-9244.

What is Jason S Berman, Phd, PLLC's specialty?

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

Is Jason S Berman, Phd, PLLC enrolled in Medicare?

Yes. Jason S Berman, Phd, PLLC is registered in the Medicare PECOS enrollment system.

When is Jason S Berman, Phd, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jason S Berman, Phd, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jason S Berman, Phd, PLLC. 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 Jason S Berman, Phd, PLLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.