Active NPI
Melissa S Bernstein, MFC 52524
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1356582894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 52524
- Practice address
- 200 Washington St Ste 210
Santa Cruz, CA 95060-4976 - Phone
- (831) 713-7876
- NPI assigned
- Mar 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | IMF 56657 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 52524 | CA | Primary |
Addresses
Primary practice location
200 Washington St Ste 210
Santa Cruz, CA 95060-4976
Mailing address
PO Box 369
Santa Cruz, CA 95061-0369
Phone (831) 713-7876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMF 56657 | Other | CA | IMF |
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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 56657 | CA | MD | School Counselor |
| MFC 52524 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1356582894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950610369",
"telephone_number": "831-713-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WASHINGTON ST STE 210",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604976",
"telephone_number": "831-713-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "MELISSA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MFC 52524",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "IMF 56657",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 52524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMF",
"identifier": "IMF 56657",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.