Individual provider Active NPI

Naomi Skolnick Bernstein, PSY.D.

  • Clinical Psychologist
  • Great Neck, NY
National Provider Identifier
1336471655
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018483 Issued in NY
Practice address
15 Bond St
Suite 107
Great Neck, NY 11021-2002
Phone
(516) 359-5030
NPI assigned
Feb 11, 2010
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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 018483 NY Primary

Addresses

Primary practice location

15 Bond St
Suite 107
Great Neck, NY 11021-2002

Mailing address

300 Hempstead Ave
Rockville Centre, NY 11570-2400
Phone (516) 359-3401

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
018483NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benzaquen Psychological Services, PLLC Clinical PastSince Nov 12, 2019 Accepting new patients

Organizations & group practices 1

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": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1336471655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702400",
            "telephone_number": "516-359-3401",
            "fax_number": "516-632-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOND ST",
            "address_2": "SUITE 107",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212002",
            "telephone_number": "516-359-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "NAOMI",
        "middle_name": "SKOLNICK",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.