Brett Bersano, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

60 Westervelt Ave
Tenafly, NJ 07670-3201

Phone

(201) 297-9170

NPI assigned

Apr 28, 2020

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Peace of Mind Psychological Services, LLC

  • Psychologist
  • River Vale, NJ
  • NPI 1255048583
  NPD Authorized official

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1558982835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 WESTWOOD AVE",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076755540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTERVELT AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703201",
            "telephone_number": "201-297-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Westwood Ave",
            "address_purpose": "LOCATION",
            "city": "River Vale",
            "state": "NJ",
            "postal_code": "076756295",
            "country_code": "US",
            "telephone_number": "201-822-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERSANO",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Lawrence Baldassare, MD
• June M. Baldino, MA, OT R/L
• Hamutal Barger Amsalem
• Gilat Baruchi
• Marcia Baum, OTRL
• Madona Amgad Beshai, OD
• Lucia Birkenfeld, D.M.D
• Carli Blau, LCSW
• Blue Iron Physio LLC
• Roberta Bornstein, PT - PEDIATRIC PHYSI

• Psychologist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.