Active NPI
James Bernhardt, PSY.D.
- Psychologist
- Pasadena, CA
National Provider Identifier
1568847697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11365
- Practice address
- 2330 E del Mar Blvd
Apt. 117
Pasadena, CA 91107-4718 - Phone
- (626) 795-3516
- NPI assigned
- Jul 30, 2015
- Last updated
- Jul 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT24336 | CA | |
| Psychologist | 103T00000X | PSY11365 | CA | Primary |
Addresses
Primary practice location
2330 E del Mar Blvd
Apt. 117
Pasadena, CA 91107-4718
Mailing address
2330 E del Mar Blvd
Apt. 117
Pasadena, CA 91107-4718
Phone (626) 795-3516
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11365 | CA | MD | Psychologist |
| MFT24336 | CA | MD | Marriage & Family Therapist |
| 11365 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1568847697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 E DEL MAR BLVD",
"address_2": "APT. 117",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074718",
"telephone_number": "626-795-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 E DEL MAR BLVD",
"address_2": "APT. 117",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074718",
"telephone_number": "626-795-3516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNHARDT",
"first_name": "JAMES",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT24336",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.