Conrad B Bernisto, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1291 Issued in HI

Practice address

94-141 Makoa St
Waipahu, HI 96797-4728

Phone

(808) 282-1907

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waikiki HealthGroup PAC ID 9335058536, shared by 5 NPIs, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: conrad.bernisto.1@15051.direct.athenahealth.com

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.

• Conrad Bugarin Bernisto

  • Clinical Psychologist
  • Waipahu, HI
  • NPI 1245585058
  NPD (past) Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1164778445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-141 MAKOA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974728",
            "telephone_number": "808-282-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-141 MAKOA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974728",
            "telephone_number": "808-282-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNISTO",
        "first_name": "CONRAD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Bennett
• Benson H Araki,D.D.S.,Inc. (The Smiling Place)
• Fernanda Bermudezgonzales
• Hannah Ruth Bernadsky, FNP-C
• Bernice Arang LLC
• Sara Berry, MA CCC SLP
• Jennifer Lynn Betian
• Lauren Beu
• Tamara Bewley
• Rahul Dave Bhaskar, MD

• Clinical Psychologist in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.