Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jarvis Dwayne Berry Sr.

Individual provider Community/Behavioral Health Agency · NPI 1669004727

Jarvis Dwayne Berry Sr. is a Community/Behavioral Health Agency in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

6150 W Cheery Lynn Rd
Phoenix, AZ 85033-5833
Phone: (623) 440-8989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence BH5698 (AZ)

Record details

NPI number1669004727
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

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