Theresa Bernsesser, B.S. SPED – Specialist

Key facts

NPI: 1457796419
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
License: 683804008 (NY)
Practice address: 40 Henrietta Blvd
Amsterdam, NY 12010-1111
Phone: (518) 843-3003
NPI assigned: May 3, 2013
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Bachelor of Science

State licenses

License	State	Type	Specialty
683804008	NY	MD	Specialist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	683804008	NY	Yes

Addresses

Primary practice location

40 Henrietta Blvd
Amsterdam, NY 12010-1111

Mailing address

40 Henrietta Blvd
Amsterdam, NY 12010-1111
Phone (518) 843-3003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2013.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1457796419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HENRIETTA BLVD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101111",
            "telephone_number": "518-843-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HENRIETTA BLVD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101111",
            "telephone_number": "518-843-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSESSER",
        "first_name": "THERESA",
        "credential": "B.S. SPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "683804008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

All providers in Amsterdam, NY · Specialist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.