Provider Demographics
NPI:1245831296
Name:REEMA S. BERI, PHD, LLC
Entity type:Organization
Organization Name:REEMA S. BERI, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-719-4056
Mailing Address - Street 1:49410 WATERSTONE ESTATES CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-4900
Mailing Address - Country:US
Mailing Address - Phone:248-719-4056
Mailing Address - Fax:248-621-0201
Practice Address - Street 1:21800 HAGGERTY RD STE 207
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-8981
Practice Address - Country:US
Practice Address - Phone:248-719-4056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty