Individual provider Active NPI

Joshua David Bernstein, PH.D., LICENSED PSYC

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1669668992
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016891 Issued in PA
Practice address
401 Shady Ave
Suite B 205
Pittsburgh, PA 15206-4409
Phone
(412) 512-4466
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016891 PA Primary
Cognitive & Behavioral Psychologist 103TB0200X PS016891 PA
Clinical Child & Adolescent Psychologist 103TC2200X PS016891 PA
Counseling Psychologist 103TC1900X PS016891 PA

Addresses

Primary practice location

401 Shady Ave
Suite B 205
Pittsburgh, PA 15206-4409

Mailing address

558 Greendale Ave
Pittsburgh, PA 15218-1334
Phone (412) 512-4466

Other identifiers 1

IdentifierTypeStateIssuer
002539341OtherPAHIGHMARK

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016891PAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1669668992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 GREENDALE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181334",
            "telephone_number": "412-512-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE",
            "address_2": "SUITE B 205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-512-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D., LICENSED PSYC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016891",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS016891",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016891",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS016891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "002539341",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.