Bernadina Kerasiotis, NPP PSYD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

F400781 Issued in NY

Practice address

65 Lester Ave
Freeport, NY 11520-5912

Phone

(516) 672-5814

Fax

(631) 370-1902

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Living Waters LCSW PCGroup PAC ID 7719032606, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment Care Compare group NPD
• Living Waters LCSW PC

  • Clinical Social Worker
  • Greenlawn, NY
  • NPI 1780856062
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Neurological Surgery

  Medicare reassignment NPD
• Epilepsy Foundation of L.I.

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD
• North Shore - Lij Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD
• Family and Children'S Association - Linkage

  • Mental Health Counselor
  • Garden City, NY
  • NPI 1164187449
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1407980766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LESTER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205912",
            "telephone_number": "516-672-5814",
            "fax_number": "631-370-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LESTER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205912",
            "telephone_number": "516-672-5814",
            "fax_number": "631-370-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Living Waters Therapy",
            "address_2": "29 Clay Pitts Road",
            "address_purpose": "LOCATION",
            "city": "Greenlawn",
            "state": "NY",
            "postal_code": "11740",
            "country_code": "US",
            "telephone_number": "631-271-0913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Northwell Health Huntington Hospital",
            "address_2": "270 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "11743",
            "country_code": "US",
            "telephone_number": "631-351-2000 x2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERASIOTIS",
        "first_name": "BERNADINA",
        "name_prefix": "Dr.",
        "credential": "NPP PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "F400781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabhjot Kaur, PHARMD
• Simranjit Kaur, DDS
• KC Healthcare Services Family Health Nurse Practitioner PLLC
• Linda M Kelly, RN
• Samuel H Kelman, D.O.
• Tammilee K Kerr, RDN
• Kids Sprouts Corp.
• Jeffrey Kim
• Mario I Kim, BS
• Suk Sik Kim, M.D.

• Psychiatry Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.