Active NPI
Marylynn Bernier, MSN,RN,CS
- Adult Psychiatric/Mental Health Registered Nurse
- Philadelphia, PA
National Provider Identifier
1184857583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 26NJ00011300
- Practice address
- 100 W Lehigh Ave
Philadelphia, PA 19133-4039 - Phone
- (215) 779-1794
- NPI assigned
- Sep 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN326522L | PA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 26NJ00011300 | NJ | Primary |
Addresses
Primary practice location
100 W Lehigh Ave
Philadelphia, PA 19133-4039
Mailing address
6 Hanover Dr
Medford, NJ 08055-8621
Phone (609) 440-4471
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN326522L | PA | MD | Registered Nurse |
| 26NJ00011300 | NJ | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1184857583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HANOVER DR",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080558621",
"telephone_number": "609-440-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191334039",
"telephone_number": "215-779-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNIER",
"first_name": "MARYLYNN",
"credential": "MSN,RN,CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN326522L",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NJ",
"license": "26NJ00011300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.