Active NPI
Sari Newman Bernstein PHD PA, PHD PA
- Clinical Neuropsychologist
- Jacksonville, FL
National Provider Identifier
1699832832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY6209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY6209 | FL | MD | Clinical 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.