Active NPI
Emily Diane Bernard, MA, PSYD, IBCLC
- Psychologist
- Merced, CA
National Provider Identifier
1902088925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Psychologist | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Autism Counseling Center Inc | Multi-Specialty | Current | Accepting new patients |
Locations
17702 Sierra Hwy
Santa Clarita, CA 91351
Phone (888) 770-5222
Interoperability endpoints
- 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.
-
- Community/Behavioral Health Agency
- Santa Clarita, CA
- NPI 1649737735
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.