Active NPI
William Morris Bernstein, PH.D.
- Prescribing (Medical) Psychologist
- Santa Fe, NM
National Provider Identifier
1164439600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 0012C
- Practice address
- 1435 S Saint Francis Dr BLDG Suite209
Santa Fe, NM 87505-4202 - Phone
- (505) 977-4523
- Fax
- (505) 503-7897
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0882 | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | 0012C | NM | Primary |
Addresses
Primary practice location
1435 S Saint Francis Dr BLDG Suite209
Santa Fe, NM 87505-4202
Mailing address
1435 S Saint Francis Dr BLDG Suite209
Santa Fe, NM 87505-4202
Phone (505) 977-4523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48250538 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008124 | NY | MD | Mental Health Counselor |
| 0882 | NM | MD | Clinical Psychologist |
| 0012C | NM | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1164439600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 S SAINT FRANCIS DR BLDG SUITE209",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054202",
"telephone_number": "505-977-4523",
"fax_number": "505-503-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 S SAINT FRANCIS DR BLDG SUITE209",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054202",
"telephone_number": "505-977-4523",
"fax_number": "505-503-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "WILLIAM",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "0882",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "0012C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48250538",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.