Michelle R Bernardo, M.A, LPC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

37PC00399100 Issued in NJ

Practice address

154 Princeton Hightstown Rd
Princeton JCT, NJ 08550-1648

Phone

(609) 540-1541

Fax

(609) 406-9096

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1811229636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JCT",
            "state": "NJ",
            "postal_code": "085501648",
            "telephone_number": "609-540-1541",
            "fax_number": "609-406-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JCT",
            "state": "NJ",
            "postal_code": "085501648",
            "telephone_number": "609-540-1541",
            "fax_number": "609-406-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "M.A, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NJ",
            "license": "37PC00399100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Broderson, RPH
• Daniel Cimafranca M.D.,P.C.
• Gretchen B. Fahrenbruch, M.D.
• Jacqueline Farnese, PSY.D.
• Sophia Fishbane

• Community Health Worker in Princeton JCT, NJ
• Providers in Princeton JCT, NJ by specialty
• Community Health Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.