Individual provider Active NPI

Cristina Marie Bernich, MS,CCC,SLP

  • Speech-Language Pathologist
  • Huntington, NY
National Provider Identifier
1457652240
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58010494 Issued in NY
Practice address
33 Landing Rd
Huntington, NY 11743-1815
Phone
(631) 673-1948
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 58010494 NY Primary

Addresses

Primary practice location

33 Landing Rd
Huntington, NY 11743-1815

Mailing address

33 Landing Rd
Huntington, NY 11743-1815
Phone (631) 673-1948

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
58010494NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1457652240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LANDING RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431815",
            "telephone_number": "631-673-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LANDING RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431815",
            "telephone_number": "631-673-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNICH",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58010494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.