Bernadette Premium Healthcare LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BERNADETTE PREMIUM HEALTHCARE LLC

Practice address

2546 Canterbury Dr N
Riviera Beach, FL 33407-1316

Phone

(561) 502-9416

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Veronique Datis

Title

President

Phone

(561) 502-9416

Specialties & licenses 1

Addresses

Other names 1

• Bernadette Premium Healthcare LLC Other name

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1730707175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 CANTERBURY DR N",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334071316",
            "telephone_number": "561-502-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 CANTERBURY DR N",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334071316",
            "telephone_number": "561-502-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE PREMIUM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "DATIS",
        "authorized_official_first_name": "MARIE VERONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-502-9416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bernadette Premium Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bernadette Premium Healthcare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie Bell, PSY.D.
• Britaniney Gabrielle Bellamy
• Michelle Doris Bello, LMHC
• Janice Ruth Belwood, ARNP
• Stephen David Berman, MSW, LCSW
• Djenley Bernadin, MS, LMHC
• Better Speech of Palm Beach, P.a.
• Bewell Behavior Therapy LLC
• Shashi P Bhandari-Gadson, ARNP
• Joseph Brian Birchansky, MD

• Developmental Disabilities Clinic/Center in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.