NPIMap

Organization Active NPI

Andrew D. Bernstein, PHD

  • Psychologist
  • South Orange, NJ
National Provider Identifier
1629276977
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3114 Issued in NJ
Legal business name
ANDREW D. BERNSTEIN, PHD
Practice address
106 Valley St
Suite 206
South Orange, NJ 07079-2886
Phone
(973) 378-8035
Fax
(973) 731-7116
NPI assigned
Jul 9, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Andrew D Bernstein, PHDNPI 1083698989
Title
Consulting Psychologist
Phone
(973) 378-8035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3114 NJ Primary

Addresses

Primary practice location

106 Valley St
Suite 206
South Orange, NJ 07079-2886

Mailing address

106 Valley St
Suite 206
South Orange, NJ 07079-2886
Phone (973) 378-8035

Other identifiers 1

IdentifierTypeStateIssuer
ES549OtherNJOXFORD HEALTH INSURANCE

Other names 1

  • Andy Bernstein, PhD Other name

National Provider Directory

National Provider Directory

Locations

106 Valley St
Ste 206
South Orange, NJ 07079
Phone (973) 378-8035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1629276977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VALLEY ST",
            "address_2": "SUITE 206",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792886",
            "telephone_number": "973-378-8035",
            "fax_number": "973-731-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VALLEY ST",
            "address_2": "SUITE 206",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792886",
            "telephone_number": "973-378-8035",
            "fax_number": "973-731-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D. BERNSTEIN, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CONSULTING PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-378-8035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH INSURANCE",
            "identifier": "ES549",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andy Bernstein, PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.