Individual provider Active NPI

Emily Diane Bernard, MA, PSYD, IBCLC

  • Psychologist
  • Merced, CA
National Provider Identifier
1902088925
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
94028350
Practice address
50 Alpine Drive
Suite a
Merced, CA 95340
Phone
(209) 383-1606
Fax
(209) 722-8064
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 94028350 Primary

Addresses

Primary practice location

50 Alpine Drive
Suite a
Merced, CA 95340

Mailing address

50 Alpine Dr.
Suite a
Merced, CA 95340
Phone (209) 383-1606

Other practice location 1

17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone (888) 770-5222

Other practice location 2

19375 Ca 116
Monte Rio, CA 95462
Phone (707) 865-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Autism Counseling Center Inc Multi-Specialty CurrentSince Dec 15, 2024 Accepting new patients

Locations

17702 Sierra Hwy
Santa Clarita, CA 91351
Phone (888) 770-5222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1902088925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALPINE DR.",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-383-1606",
            "fax_number": "209-722-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALPINE DRIVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-383-1606",
            "fax_number": "209-722-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17702 Sierra Hwy",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913511635",
            "country_code": "US",
            "telephone_number": "888-770-5222",
            "fax_number": "888-770-9269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19375 CA 116",
            "address_purpose": "LOCATION",
            "city": "Monte Rio",
            "state": "CA",
            "postal_code": "95462",
            "country_code": "US",
            "telephone_number": "707-865-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "EMILY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MA, PSYD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "94028350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.