Active NPI
Calvin J Bernard III, M.S.
- Mental Health Counselor
- Newtown, PA
National Provider Identifier
1598069122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2288 Second Street Pike
Newtown, PA 18940-4108 - Phone
- (215) 579-0223
- NPI assigned
- Dec 22, 2010
- Last updated
- Dec 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2288 Second Street Pike
Newtown, PA 18940-4108
Mailing address
4015 Elson Rd
Brookhaven, PA 19015-1945
Phone (610) 800-4016
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1598069122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 ELSON RD",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151945",
"telephone_number": "610-800-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2288 SECOND STREET PIKE",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189404108",
"telephone_number": "215-579-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "CALVIN",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.