John a. Beradino, PH.D, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSY27226 Issued in CA

Legal business name

JOHN A. BERADINO, PH.D, INC.

Practice address

15233 Ventura Blvd
Suite 1204
Sherman Oaks, CA 91403-2201

Phone

(310) 500-6862

NPI assigned

May 14, 2015

Last updated

May 14, 2015By 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

Dr. John Anthony Beradino Jr., PH.D.NPI 1679819627

Title

Licensed Clinical Psychologist

Phone

(310) 500-6862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Anthony Beradino Jr., M.A.

  • Mental Health Counselor
  • Sherman Oaks, CA
  • NPI 1679819627

  ID

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1467830034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "310-500-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "310-500-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. BERADINO, PH.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "BERADINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-500-6862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY27226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gary Robert Johnson, D.D.S.

• Mental Health Counselor in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.