Active NPI
Emily B Bernstein, MD
- Psychiatry Physician
- Paoli, PA
National Provider Identifier
1205962149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD422931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101314467 | Medicaid | PA |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12370300 | NJ | MD | Psychiatry Physician |
| 332064 | NY | MD | Psychiatry Physician |
| MD422931 | PA | MD | Psychiatry 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.