Individual provider Active NPI

Emily B Bernstein, MD

  • Psychiatry Physician
  • Paoli, PA
National Provider Identifier
1205962149
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD422931 Issued in PA
Practice address
30 S Valley Rd Ste 211
Paoli, PA 19301-1476
Phone
(267) 996-4406
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA12370300 NJ
Psychiatry Physician 2084P0800X 332064 NY
Psychiatry Physician 2084P0800X MD422931 PA Primary

Addresses

Primary practice location

30 S Valley Rd Ste 211
Paoli, PA 19301-1476

Mailing address

30 S Valley Rd Ste 211
Paoli, PA 19301-1476
Phone (267) 996-4406

Other practice location 1

1000 N West St Ste 1200
Wilmington, DE 19801-1058
Phone (302) 207-9501

Other practice location 2

5 Penn Plz Fl 23
New York, NY 10001-1810
Phone (332) 219-7898

Other practice location 3

915 Haddon Ave Ste 1
Collingswood, NJ 08108-1900
Phone (609) 573-3314

Other practice location 4

1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610
Phone (267) 358-6155

Other practice location 5

301 Grant St Ste 270
Pittsburgh, PA 15219-1408
Phone (878) 999-8390

Other identifiers 1

IdentifierTypeStateIssuer
101314467MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12370300NJMDPsychiatry Physician
332064NYMDPsychiatry Physician
MD422931PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1205962149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 211",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011476",
            "telephone_number": "267-996-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 211",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011476",
            "telephone_number": "267-996-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N West St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011058",
            "country_code": "US",
            "telephone_number": "302-207-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Penn Plz Fl 23",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100011810",
            "country_code": "US",
            "telephone_number": "332-219-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Haddon Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081081900",
            "country_code": "US",
            "telephone_number": "609-573-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1528 Walnut St Ste 1414",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023610",
            "country_code": "US",
            "telephone_number": "267-358-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Grant St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191408",
            "country_code": "US",
            "telephone_number": "878-999-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "EMILY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12370300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "332064",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD422931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101314467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.