Individual provider Active NPI

Joann M. Berns, PSY.D.

  • Clinical Psychologist
  • Lebanon, NH
National Provider Identifier
1275620197
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
975 Issued in 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
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
975NHMDChiropractor

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1275620197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST",
            "address_2": "SUITE 2 WEST CENTRAL SERVICES INC",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-0126",
            "fax_number": "603-448-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST",
            "address_2": "SUITE 2 WEST CENTRAL SERVICES INC",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126",
            "fax_number": "603-448-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNS",
        "first_name": "JOANN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.