DAWN BERRY – Clinical Psychologist, NPI 1053065227

DAWN BERRY is a healthcare provider. based in Colorado springs, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PSY.0005735 (CO). The NPI Number for DAWN BERRY is 1053065227

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DAWN BERRY
NPI
1053065227
Phone
(719) 357-6471
Address
1115 ELKTON DR STE 102
Enumeration Date
7 February 2022
Last Update Date
7 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193576471
Graduation Year
2020 (6 years ago)
PAC ID
1759775661
Group Practice PAC ID
0446550024
Professional Enrollment ID
I20220218000389
Address ID
CO809073597CO1115XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

Provider Addresses for DAWN BERRY

  • 1115 ELKTON DR STE 102

    COLORADO SPRINGS, CO 809073597

    Phone: (719) 357-6471

    Fax: (719) 434-9811

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220218000389IClinical PsychologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446550024View full group profile
NameSpecialtyState
Clinical PsychologistCO
Clinical PsychologistTX
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO
-CO
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO

Reviews

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Frequently asked questions

How do payers reference DAWN BERRY?
For DAWN BERRY, use NPI 1053065227 as the unique 10-digit identifier.
Is DAWN BERRY shown as active in public data?
Registry records indicate DAWN BERRY maintains an active NPI.
What area of care is associated with DAWN BERRY?
DAWN BERRY's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DAWN BERRY associated with Colorado Springs?
Public fields place DAWN BERRY around Colorado Springs, Colorado. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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