John Anthony Beradino Jr., M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15233 Ventura Blvd
Suite 1204
Sherman Oaks, CA 91403-2201

Phone

(310) 500-6862

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Undiscovered Self, PC

  • Psychologist
  • Boise, ID
  • NPI 1487514212
  Medicare reassignment NPD Authorized official
• John a. Beradino, PH.D, Inc.

  • Mental Health Counselor
  • Sherman Oaks, CA
  • NPI 1467830034

  ID

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1679819627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "310-500-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1204",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "310-500-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERADINO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Benjamin, PT
• Rachel Elizabeth Benjamin, M.A., LMFT
• Adam Bennett, MA, AMFT
• Martin Bennett, M.D.
• Pamela F. Benyas, PH.D.
• Jane Clare Beresford, PSYD
• Eli Louis Berg-Rosenblatt
• Stephanie Fallon Berg, ND
• Shayna Bergenfeld, AMFT 155015
• Robin G. Berglund, M.D.

• Mental Health Counselor in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.