Individual provider Active NPI

Bernadine Ann Bishop, DVM, MA

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1700366028
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301017554 Issued in MI
Practice address
31700 W 12 Mile Rd
Farmington Hills, MI 48334-4424
Phone
(734) 368-7154
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 6301017554 MI Primary

Addresses

Primary practice location

31700 W 12 Mile Rd
Farmington Hills, MI 48334-4424

Mailing address

1496 Dover HL S
Walled Lake, MI 48390-3121
Phone (248) 820-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250613002325 IL Practitioner - Clinical Psychologist 1557872835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gregory Sarlo Psychological Consultations, IncGroup PAC ID 7618158338, 2 clinicians

Practice addresses (Care Compare)

2835 N Sheffield Ave
Suite 404
Chicago, IL 60657-5084
Phone (773) 880-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301017554MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Sarlo Psychological Consultations, Inc Clinical CurrentSince Jun 1, 2025 Accepting new patients

Locations

2835 N Sheffield Ave
Ste 404
Chicago, IL 60657
Phone (773) 413-6006

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1700366028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 DOVER HL S",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903121",
            "telephone_number": "248-820-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344424",
            "telephone_number": "734-368-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BERNADINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DVM, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.