Individual provider Active NPI

Lynn R Bernstein, PH.D

  • Psychologist
  • Englewood, FL
National Provider Identifier
1730357534
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3297 Issued in FL
Practice address
1861 Placida Rd Ste 101
Englewood, FL 34223-4900
Phone
(941) 474-7170
Fax
(941) 475-2955
NPI assigned
Feb 14, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY3297 FL Primary

Addresses

Primary practice location

1861 Placida Rd Ste 101
Englewood, FL 34223-4900

Mailing address

1861 Placida Rd Ste 101
Englewood, FL 34223-4900
Phone (941) 474-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100311001061 FL Practitioner - Clinical Psychologist 5698800936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lynn R Bernstein and Associates PAGroup PAC ID 0143355487, 2 clinicians

Practice addresses (Care Compare)

1861 Placida Rd
Englewood, FL 34223-4900
Phone (941) 474-7170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY3297FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn R Bernstein & Associates PA CurrentSince Feb 10, 2010 Accepting new patients
Margaret a. Gainey M.D. Past Accepting new patients

Locations

1861 Placida Rd
Ste 101
Englewood, FL 34223
Phone (941) 258-6755

2510 Tamiami Trl N
Nokomis, FL 34275
Phone (941) 966-1177

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1730357534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD STE 101",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234900",
            "telephone_number": "941-474-7170",
            "fax_number": "941-475-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD STE 101",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234900",
            "telephone_number": "941-474-7170",
            "fax_number": "941-475-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "LYNN",
        "middle_name": "R",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.