Individual provider Active NPI

Sari Newman Bernstein PHD PA, PHD PA

  • Clinical Neuropsychologist
  • Jacksonville, FL
National Provider Identifier
1699832832
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY6209 Issued in FL
Practice address
4110 Southpoint Blvd
Suite 238
Jacksonville, FL 32216-0928
Phone
(904) 332-2525
Fax
(612) 435-2390
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY6209 FL Primary

Addresses

Primary practice location

4110 Southpoint Blvd
Suite 238
Jacksonville, FL 32216-0928

Mailing address

4110 Southpoint Blvd
Suite 238
Jacksonville, FL 32216-0947
Phone (904) 332-2525

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
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6209FLMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1699832832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD",
            "address_2": "SUITE 238",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160947",
            "telephone_number": "904-332-2525",
            "fax_number": "612-435-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD",
            "address_2": "SUITE 238",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160928",
            "telephone_number": "904-332-2525",
            "fax_number": "612-435-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN BERNSTEIN PHD PA",
        "first_name": "SARI",
        "credential": "PHD PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.