Bernice Kornfield-Premisler, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R0310961 Issued in NY

Practice address

3 Tallmadge Gate
Setauket, NY 11733-1417

Phone

(631) 751-0196

Fax

(631) 689-9741

NPI assigned

Jul 13, 2006

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)

Enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344038400000",
    "number": "1891710117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 ROUTE 25A",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331231",
            "telephone_number": "631-751-0196",
            "fax_number": "631-689-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TALLMADGE GATE",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331417",
            "telephone_number": "631-751-0196",
            "fax_number": "631-689-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNFIELD-PREMISLER",
        "first_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0310961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Setauket, NY
• Providers in Setauket, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.