Andrew D. Bernstein, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3114 Issued in NJ

Practice address

106 Valley St
Suite 206
South Orange, NJ 07079-2886

Phone

(973) 378-8035

Fax

(973) 731-7116

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andy Bernstein Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LB Associates

  • Clinical Psychologist
  • Tucson, AZ
  • NPI 1487838736
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1083698989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VALLEY ST",
            "address_2": "SUITE 206",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792886",
            "telephone_number": "973-378-8035",
            "fax_number": "973-731-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VALLEY ST",
            "address_2": "SUITE 206",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792886",
            "telephone_number": "973-378-8035",
            "fax_number": "973-731-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ANDREW",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543862",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "BERNSTEIN",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Venugopal Balasubramanian
• Larissa Balik, MS, OTR/L
• Brittany Baptiste, MD
• Catherine Barnett, PT
• Lavonia Bearfield
• Abby J Beutel, FNP
• Bgaw Treatment
• Big Apple Medical Services
• Kiki Tamika Black, MSW
• Stephanie Bourgeois, LCSW

• Psychologist in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.