Juliette Mazur Bermingham, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

958 Issued in NH

Practice address

87 Stiles Rd
Suite 106
Salem, NH 03079-2899

Phone

(603) 893-7700

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salem Psychological Associates, PAGroup PAC ID 6002718699, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Salem Psychological Associates, PA

  • Psychologist
  • Salem, NH
  • NPI 1780795815
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689704165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STILES RD",
            "address_2": "SUITE 106",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792899",
            "telephone_number": "603-893-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STILES RD",
            "address_2": "SUITE 106",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792899",
            "telephone_number": "603-893-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMINGHAM",
        "first_name": "JULIETTE",
        "middle_name": "MAZUR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423584",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjalique Benham
• Francesca Benning, LICSW
• Lesley Bergeron, MSPT
• Paula Marie Bergeron, OD
• Marisa Marie Berlin, OTR
• Kara Lyn Berthel
• Karen L Berthel
• Charlene Berube, ARNP
• Bettencourt Family Services, LLC (Ellie Mental Health Salem)
• Jacqueline Beverly, PT

• Clinical Psychologist in Salem, NH
• Providers in Salem, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.