Bernabo & Hogan Psychological Corp.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7029 Issued in CA

Legal business name

BERNABO & HOGAN PSYCHOLOGICAL CORP.

Practice address

1415 Ridgeback Rd
Suite 2
Chula Vista, CA 91910-6932

Phone

(619) 656-3775

Fax

(858) 549-3146

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Alvin Hogan, PHD

Title

President

Phone

(610) 656-3775

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Lee Bernabo, PH.D.

  • Clinical Psychologist
  • Chula Vista, CA
  • NPI 1942220801
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629143292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD",
            "address_2": "SUITE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106932",
            "telephone_number": "619-656-3775",
            "fax_number": "858-549-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD",
            "address_2": "SUITE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106932",
            "telephone_number": "619-656-3775",
            "fax_number": "858-549-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNABO & HOGAN PSYCHOLOGICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-656-3775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. HOGAN NPI",
            "identifier": "1881688000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BERNABO NPI",
            "identifier": "1942220801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berlandhomecare Inc
• Matthew Berlin, PSY.D.
• Brett Justin Berman, MD
• Jason Bermudez Matias
• Luis Carlo Bermudez
• Janet Lee Bernabo, PH.D.
• Alyssa Lynnette Bernal
• Miguel Abisai Bernal
• Norma Yolanda Bernal
• Samantha Bernaldo, DENTAL HYGIENIST

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.