Todd Alexander Berneyficklin

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-DKSIUO Issued in CA

Practice address

19531 McLane Street
Ste a
Palm Springs, CA 92262

Phone

(760) 251-2346

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Palm Springs, CA
  • NPI 1447595954
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1568151371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042037",
            "telephone_number": "866-218-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 MCLANE STREET",
            "address_2": "STE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-251-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNEYFICKLIN",
        "first_name": "TODD",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-DKSIUO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle F Benoit, MD
• Kayleigh Benson
• Nicholas Penzi Berg, DO
• Lauren Kristina Anderson Berki, MD
• Larry Michael Berkowitz, M.D., M.B.A.
• Miroslava Amelie Bernier, MD
• Robert F Bernstein, MD
• Scott Ray Berry, LVN
• Hetal Rajendra Bhakta
• Sneha Bhakta

• Peer Specialist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.