Individual provider Active NPI

Julie Ann Bernhard, MA LLP

  • Counseling Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1609933894
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6361001198 Issued in MI
Practice address
2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909
Phone
(248) 322-0001
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 6361001198 MI
Counseling Psychologist 103TC1900X 6361001198 MI Primary

Addresses

Primary practice location

2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909

Mailing address

2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909
Phone (248) 322-0001

Other identifiers 1

IdentifierTypeStateIssuer
6361001198OtherMIDEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF PSYCHOLOGY, MASTER'S LLP

Other names 1

  • Julie Ann Kachadurian Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
6361001198MIMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1609933894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "248-322-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "248-322-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6361001198",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361001198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF PSYCHOLOGY, MASTER'S LLP",
            "identifier": "6361001198",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "KACHADURIAN",
            "middle_name": "ANN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.