# BERG PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437075504
- **Authorized official:** MARY JANE BENITO BERG PMHNP-BC (OWNER/PMHNP)
- **Authorized official phone:** (608) 332-3229

## Contact information

- **Practice address:** 11782 S 51ST DR, LAVEEN, AZ 85339-4514
- **Practice address phone:** (608) 332-3229
- **Practice address fax:** (602) 584-6594
- **Mailing address:** 11782 S 51ST DR, LAVEEN, AZ 85339-4514
- **Mailing address phone:** (608) 332-3229
- **Mailing address fax:** (602) 584-6594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2026
- **Last updated:** 06/24/2026