Berndt and Associates in Psychcare LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BERNDT AND ASSOCIATES IN PSYCHCARE LLC

Practice address

4477 W Emerald St Ste C275
Boise, ID 83706-2078

Phone

(208) 268-8858

Fax

(208) 408-0694

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caroll Berndt, PSYD

Title

Owner

Phone

(208) 268-8858

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1447888656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W EMERALD ST STE C275",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062078",
            "telephone_number": "208-268-8858",
            "fax_number": "208-408-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W EMERALD ST STE C275",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062078",
            "telephone_number": "208-268-8858",
            "fax_number": "208-408-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNDT AND ASSOCIATES IN PSYCHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "BERNDT",
        "authorized_official_first_name": "CAROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-268-8858",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Jae Bermensolo, RRT
• Karen Bermensolo, RN, BSN
• Mary Kelleen Bermensolo, LCSW
• Maria Carmen Bernabe
• Madeline Francesca Melillo Bernardo
• Madison Nicole Bernhardt
• Chantelle Bernier
• Kelsey Lorraine Bernier, MS, RD, LD, LMT
• Jessica Ann Bernotski, RDH
• Tyler David Berreth

• Clinical Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.