Melanie Ann St Bernard, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008533 Issued in MI

Practice address

308 S Maumee St
Tecumseh, MI 49286-2033

Phone

(517) 423-6889

Fax

(517) 423-6890

NPI assigned

Nov 8, 2005

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Masterpeace Center for Counseling and DevelopmentGroup PAC ID 4981506409, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Masterpeace Center for Counseling & Development

  dba Masterpeace Counseling

  • Psychologist
  • Tecumseh, MI
  • NPI 1780899286
  Medicare reassignment Care Compare group NPD
• Masterpeace Center for Counseling & Development

  dba Masterpeace Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tecumseh, MI
  • NPI 1366773368
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1124009154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862033",
            "telephone_number": "517-423-6889",
            "fax_number": "517-423-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862033",
            "telephone_number": "517-423-6889",
            "fax_number": "517-423-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST BERNARD",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680D645180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Snelling
• Alan Herbert Snider, D.O.
• Michael John Snyder-Barker, LMSW CAAC
• Sarah Sobus
• Karen L Soderquist, DDS
• Joshua Ronald Staffeld, PHARMD
• Rhea Staniszewski, LCSW
• Makayla Christine Stasa, M.A. SLP-CF
• Stephen Bartee DPM
• James Peter Steyaert, PHD

• Clinical Psychologist in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.