Individual provider Active NPI

Michelle Berniker, PSY.D.

  • Clinical Psychologist
  • Livingston, NJ
National Provider Identifier
1699294157
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00579300 Issued in NJ
Practice address
2 W Northfield Rd Ste 305
Livingston, NJ 07039-3758
Phone
(646) 256-0859
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00579300 NJ Primary

Addresses

Primary practice location

2 W Northfield Rd Ste 305
Livingston, NJ 07039-3758

Mailing address

17 Hillside Way
Short Hills, NJ 07078-2118
Phone (646) 256-0859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20181101002924 NJ Practitioner - Clinical Psychologist 4880947191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 W Northfield Rd
Suite 305
Livingston, NJ 07039-3758
Phone (646) 256-0859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00579300NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Strength of Mind LLC CurrentSince Sep 13, 2018 Accepting new patients

Locations

2 W Northfield Rd
Ste 305
Livingston, NJ 07039
Phone (973) 533-6878

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1699294157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HILLSIDE WAY",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782118",
            "telephone_number": "646-256-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD STE 305",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393758",
            "telephone_number": "646-256-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNIKER",
        "first_name": "MICHELLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00579300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.