Active NPI
Robert Louis Bernatz, PH.D.
- Psychologist
- Newport Beach, CA
National Provider Identifier
1235293481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY14504
- Practice address
- 216 Via Mentone
Newport Beach, CA 92663 - Phone
- (949) 706-1274
- NPI assigned
- Dec 21, 2006
- Last updated
- Nov 29, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY14504 | CA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY14504 | CA | |
| Clinical Psychologist | 103TC0700X | PSY14504 | CA | |
| Counseling Psychologist | 103TC1900X | PSY14504 | CA |
Addresses
Primary practice location
216 Via Mentone
Newport Beach, CA 92663
Mailing address
PO Box 8683
Newport Beach, CA 92658-8683
Phone (949) 706-1274
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14504 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1235293481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8683",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926588683",
"telephone_number": "949-706-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 VIA MENTONE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-706-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNATZ",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14504",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY14504",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14504",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY14504",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.