Individual provider Active NPI

Patricia Egan Berne, PH.D

  • Counseling Psychologist
  • Saint Louis, MO
National Provider Identifier
1861519654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
00856 Issued in MO
Practice address
7710 Carondelet Ave
Suite 502
Saint Louis, MO 63105-3319
Phone
(314) 725-0550
Fax
(314) 725-1960
NPI assigned
Mar 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 00856 MO Primary

Addresses

Primary practice location

7710 Carondelet Ave
Suite 502
Saint Louis, MO 63105-3319

Mailing address

7710 Carondelet Ave
Suite 502
Saint Louis, MO 63105-3319
Phone (314) 725-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00856MOMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861519654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE",
            "address_2": "SUITE 502",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-725-0550",
            "fax_number": "314-725-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE",
            "address_2": "SUITE 502",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-725-0550",
            "fax_number": "314-725-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNE",
        "first_name": "PATRICIA",
        "middle_name": "EGAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "00856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.