Joann M. Berns, PSY.D.

Individual provider Active NPI Clinical Psychologist · Lebanon, NH

NPI 1275620197 · NPPES record last updated Jul 26, 2007

Key facts

NPI
1275620197
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
975 (NH)
Practice address
9 Hanover St
Suite 2 West Central Services Inc
Lebanon, NH 03766-1312
Phone
(603) 448-0126
Fax
(603) 448-6001
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

51 Gove Hill Rd
Thetford Center, VT 05075-8805
Phone (802) 296-2996

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20071108000098 VT Practitioner - Clinical Psychologist 8921192725 Practice locations: Thetford Center, VT

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
975NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Services, Inc. Past Accepting new patients
West Central Services, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 975 NH Yes

Addresses

Primary practice location

9 Hanover St
Suite 2 West Central Services Inc
Lebanon, NH 03766-1312

Mailing address

9 Hanover St
Suite 2 West Central Services Inc
Lebanon, NH 03766
Phone (603) 448-0126

Other providers in Lebanon, NH

All providers in Lebanon, NH · Clinical Psychologist in New Hampshire

Sources for this page

Verify at the official NPI Registry.