DR. JEFFREY SCOTT BERRYHILL (PH.D) – Clinical Psychologist, NPI 1184706350

DR. JEFFREY SCOTT BERRYHILL (PH.D) is a healthcare provider. based in Saint paul, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PH.D. They hold a License No. 0810001916 (VA). The NPI Number for DR. JEFFREY SCOTT BERRYHILL (PH.D) is 1184706350

Main info

Male
35 Years Of Experience
Name
DR. JEFFREY SCOTT BERRYHILL (PH.D)
NPI
1184706350
Phone
(651) 486-4828
Address
3499 LEXINGTON AVE N
Enumeration Date
19 October 2006
Last Update Date
20 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514829361
Graduation Year
1991 (35 years ago)
PAC ID
1658640065
Group Practice PAC ID
3173429214
Professional Enrollment ID
I20170628001150
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. JEFFREY SCOTT BERRYHILL (PH.D)

  • Lexington Avenue, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55116, United States

    SUITE 100

    SAINT PAUL, MN 551267055

    Phone: (651) 486-4828

    Fax: (651) 482-9119

    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: 2017-06-28

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
I20170628001150IClinical PsychologistMNTBD

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

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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 55126)

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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: 3173429214View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Is there an official ID for DR. JEFFREY SCOTT BERRYHILL (PH.D) in U.S. healthcare records?
The official identifier for DR. JEFFREY SCOTT BERRYHILL (PH.D) is NPI 1184706350.
Is there an active status for DR. JEFFREY SCOTT BERRYHILL (PH.D)?
For scheduling context, DR. JEFFREY SCOTT BERRYHILL (PH.D) is shown as active in the registry.
What clinical focus is listed for DR. JEFFREY SCOTT BERRYHILL (PH.D)?
At a glance, DR. JEFFREY SCOTT BERRYHILL (PH.D) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. JEFFREY SCOTT BERRYHILL (PH.D) located near Saint Paul?
DR. JEFFREY SCOTT BERRYHILL (PH.D) currently maps to Saint Paul, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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