Active NPI
Katharine Bernstein, PHD
- Counselor
- Madison, CT
National Provider Identifier
1124427802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 17A Woodland Rd
Madison, CT 06443-2342 - Phone
- (203) 779-5490
- Fax
- (203) 896-9830
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
17A Woodland Rd
Madison, CT 06443-2342
Mailing address
17A Woodland Rd
Madison, CT 06443-2342
Phone (203) 779-5490
Other practice location 1
1680 Albany Ave
Hartford, CT 06105-1001
Phone (860) 236-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Psychological | Current | Accepting new patients |
Locations
17A Woodland Rd
Madison, CT 06443
Phone (203) 779-5490
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Madison, CT
- NPI 1750927802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1124427802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17A WOODLAND RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432342",
"telephone_number": "203-779-5490",
"fax_number": "203-896-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17A WOODLAND RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432342",
"telephone_number": "203-779-5490",
"fax_number": "203-896-9830"
}
],
"practiceLocations": [
{
"address_1": "1680 Albany Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051001",
"country_code": "US",
"telephone_number": "860-236-4511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "KATHARINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.