The Bernstein Institute for Trauma Treatment

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MFT7549 Issued in CA

Legal business name

THE BERNSTEIN INSTITUTE FOR TRAUMA TREATMENT

Practice address

501 2ND St
Petaluma, CA 94952-5121

Phone

(707) 781-3335

Fax

(707) 762-8763

NPI assigned

Apr 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter Mark Bernstein, PHDNPI 1588091631

Title

President

Phone

(707) 781-3335

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Mark Bernstein, PH.D., MFT, FAPA,

  • Marriage & Family Therapist
  • Petaluma, CA
  • NPI 1588091631
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1013337161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 2ND ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525121",
            "telephone_number": "707-781-3335",
            "fax_number": "707-762-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 2ND ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525121",
            "telephone_number": "707-781-3335",
            "fax_number": "707-762-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BERNSTEIN INSTITUTE FOR TRAUMA TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-781-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "MFT7549",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "633153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Tejeda
• Timea Tenkei, IMF
• Kristine Tergesen, LCSW
• Kokeb Teshome, M.D.
• W. Richard Thayer, D.D.S.
• The Luma Center Acupuncture & Wellness, Inc.
• The Woven Woman LLC
• Tamara Jane Thissen, BSN, RN-C, CEN, AMB-
• Kari Thomas
• Gamin Mary Thomason, MD

• Adult Mental Health Clinic/Center in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.