Active NPI
Nicola Bernard, PHD LP
- Psychologist
- Ferndale, MI
National Provider Identifier
1891383279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301018745
- Practice address
- 615 Gardendale St
Ferndale, MI 48220-2487 - Phone
- (949) 295-7323
- NPI assigned
- Jan 1, 2021
- Last updated
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301018745 | MI | Primary |
Addresses
Primary practice location
615 Gardendale St
Ferndale, MI 48220-2487
Mailing address
PO Box 201161
Ferndale, MI 48220-9161
Phone (248) 289-3311
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018745 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1891383279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201161",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482209161",
"telephone_number": "248-289-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 GARDENDALE ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202487",
"telephone_number": "949-295-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "NICOLA",
"credential": "PHD LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301018745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.