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DR. ENNIS BERKER PH.D.
NPI 1316039357
Clinical Neuropsychologist in Dexter, MI

Active since September 28, 2006
1008 MERLIN WAY, DEXTER, MI 48130(269) 217-2992(734) 623-0108 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 17, 2017 (2 updates tracked since 2017).

About Dr. Ennis Berker Ph.d. NPPES

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

DR. ENNIS BERKER PH.D. (NPI 1316039357) is an individual clinical neuropsychologist in Dexter, Michigan, licensed in Michigan (6301006050) and active in the NPI registry since September 2006. He maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1316039357
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. ENNIS BERKERCredential: PH.D.
Location Address1008 MERLIN WAYDexter, MI 48130-9834
Mailing Address1008 Merlin WayDexter, MI 48130-9834 · (269) 217-2992 · Fax (734) 623-0108
Phone(269) 217-2992
Fax(734) 623-0108
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1316039357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in MI · 6301006050✔ Licensed in MI · 6301 006050
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1008 MERLIN WAY, Dexter, MI 48130
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Secondary Practice Location 1

Location 17320 Garden Ln, Suite 110Portage, MI 49002-4423 · Phone (269) 217-2992 · Fax (269) 324-7707

Other Identifiers 1

OtherC 94573MI · Blue Cross

Other Providers at the Same Location NPPES

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

COMPREHENSIVE NEUROPSY CHOLOGICAL SERVICES PC
Community/Behavioral Health
1008 MERLIN WAY
DEXTER, MI 48130
Washtenaw County (269) 217-2992

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 Ennis Berker's NPI number?

The NPI number for Ennis Berker is 1316039357. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Ennis Berker located?

Ennis Berker practices at 1008 Merlin Way, Dexter, MI 48130. The listed phone number is (269) 217-2992.

What is Ennis Berker's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Ennis Berker was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.