Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK EDISON BERRY MD, PHD
NPI 1720729239
Psychiatry & Neurology - Psychiatry in San Francisco, CA

Q: What is Jack Berry's NPI number?

The NPI number for Jack Berry is 1720729239. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Jack Berry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jack Berry was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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 April 06, 2022PECOS Enrolled

675 18TH ST, SAN FRANCISCO, CA 94143(415) 476-7527 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Apr 6, 2022 (2 updates tracked since 2022).

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About Jack Edison Berry Md, Phd NPPES

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

JACK EDISON BERRY MD, PHD (NPI 1720729239) is an individual psychiatry provider in San Francisco, California, licensed in California (A190970) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720729239

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJACK EDISON BERRYCredential: MD, PHD

Location Address675 18TH STSan Francisco, CA 94143-4200

Mailing Address675 18th StSan Francisco, CA 94143-4200 · (415) 476-7527

Phone(415) 476-7527

Sole ProprietorNo

Enumeration DateApril 6, 2022

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1720729239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A190970

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

675 18TH ST, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Edison Berry Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CAROLINE CHIU

Student in an Organized Health Care Education/Training Program