Alysia Susann Bernardini, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1999608 Issued in IL

Practice address

400 N Pennsylvania Ave
Belleville, IL 62220-4165

Phone

(618) 973-8987

NPI assigned

Mar 14, 2017

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

State licenses

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1821539693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204165",
            "telephone_number": "618-973-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204165",
            "telephone_number": "618-973-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "ALYSIA",
        "middle_name": "SUSANN",
        "credential": "NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1999608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bennett, CRNA
• Andrew Elliot Berdy, MD
• Madeline Berg
• Allison M Bergmann, SLP
• Eyob Berihun, MD
• Karen Michelle Bertels, MD
• Robin Michelle Bertram, OTR
• Barbara A Beuckman, DO
• Dianne L Beyer, CRNA
• Kashif Shahzad Bhutto, MD

• School Psychologist in Belleville, IL
• Providers in Belleville, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.