Individual provider Active NPI

Monica Doris Bernell, PSY.D.

  • Clinical Psychologist
  • Arlington, MA
National Provider Identifier
1528029931
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7694 Issued in MA
Practice address
22 Mill Street
Suite 405
Arlington, MA 02476-4744
Phone
(781) 523-5636
Fax
(781) 532-4220
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7694 MA Primary

Addresses

Primary practice location

22 Mill Street
Suite 405
Arlington, MA 02476-4744

Mailing address

22 Mill Street
Suite 405
Arlington, MA 02476-4744
Phone (781) 523-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000077 MA Practitioner - Clinical Psychologist 7719024223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Mill St
Arlington, MA 02476-4744
Phone (781) 523-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7694MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bernell Therapy, LLC Clinical CurrentSince Sep 15, 2021 Accepting new patients

Locations

22 Mill St
Ste 405
Arlington, MA 02476
Phone (781) 523-5636

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1528029931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL STREET",
            "address_2": "SUITE 405",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764744",
            "telephone_number": "781-523-5636",
            "fax_number": "781-532-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL STREET",
            "address_2": "SUITE 405",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764744",
            "telephone_number": "781-523-5636",
            "fax_number": "781-532-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNELL",
        "first_name": "MONICA",
        "middle_name": "DORIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.