DR. HEATHER MARIE BERBERET PSY.D.
NPI 1194863357
Psychologist - Clinical in San Diego, CA

Q: What is Heather Berberet's NPI number?

The NPI number for Heather Berberet is 1194863357. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Heather Berberet's specialty?

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

Q: Is Heather Berberet enrolled in Medicare?

No. Heather Berberet has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Heather Berberet was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 01, 2007Opted out of Medicare · through Apr 1, 2028

3101 4TH AVE, SAN DIEGO, CA 92103(619) 379-8513 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Heather Marie Berberet Psy.d. NPPES

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

DR. HEATHER MARIE BERBERET PSY.D. (NPI 1194863357) is an individual clinical provider in San Diego, California, licensed in California (PSY16920) and active in the NPI registry since February 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1194863357

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. HEATHER MARIE BERBERETCredential: PSY.D.

Location Address3101 4TH AVESan Diego, CA 92103-5802

Mailing Address3101 4th AveSan Diego, CA 92103-5802 · (619) 379-8513

Phone(619) 379-8513

Sole ProprietorYes

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194863357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY16920

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.

3101 4TH AVE, San Diego, CA 92103

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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

Dr. Heather Marie Berberet Psy.d. 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

DR. DOUGLAS BRACKMANN PH.D.

Psychologist