Individual provider Active NPI

Bernard Hershenberg, PH.D

  • Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1497772206
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100111600 Issued in NJ
Practice address
1874 Route 70 E
Suite 4
Cherry Hill, NJ 08003-2037
Phone
(856) 424-7272
Fax
(856) 424-6977
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100111600 NJ Primary

Addresses

Primary practice location

1874 Route 70 E
Suite 4
Cherry Hill, NJ 08003-2037

Mailing address

1874 Route 70 E
Suite 4
Cherry Hill, NJ 08003-2037
Phone (856) 424-7272

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100111600NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1497772206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 ROUTE 70 E",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032037",
            "telephone_number": "856-424-7272",
            "fax_number": "856-424-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 ROUTE 70 E",
            "address_2": "SUITE 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032037",
            "telephone_number": "856-424-7272",
            "fax_number": "856-424-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHENBERG",
        "first_name": "BERNARD",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100111600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.