Active NPI
Lynn R Bernstein & Associates PA
- Cognitive & Behavioral Psychologist
- Englewood, FL
National Provider Identifier
1780742676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PY 3297
- Legal business name
- LYNN R BERNSTEIN & ASSOCIATES PA
- Practice address
- 1861 Placida Rd Ste 101
Englewood, FL 34223-4900 - Phone
- (941) 474-7170
- Fax
- (941) 475-2955
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Merri I Douthwright
- Title
- Admin Assistant
- Phone
- (941) 474-7170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY 3297 | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033111200 | Medicaid | FL |
Other names 1
- ENGLEWOOD COUNSELING
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1861 Placida Rd
Ste 101
Englewood, FL 34223
Phone (941) 258-6755
2504 Tamiami Trl N
Ste 1
Nokomis, FL 34275
Phone (941) 474-7170
2510 Tamiami Trl N
Nokomis, FL 34275
Phone (941) 966-1177
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Englewood, FL
- NPI 1730357534
-
- Clinical Social Worker
- Englewood, FL
- NPI 1538612999
-
- Clinical Social Worker
- Englewood, FL
- NPI 1265615819
-
- Addiction Medicine (Preventive Medicine) Physician
- Englewood, FL
- NPI 1982744165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1780742676",
"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": {
"organization_name": "LYNN R BERNSTEIN & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "DOUTHWRIGHT",
"authorized_official_first_name": "MERRI",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMIN ASSISTANT",
"authorized_official_telephone_number": "941-474-7170",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY 3297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033111200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ENGLEWOOD COUNSELING",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.