Denise Martina Bermejo, M.ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52496 Issued in CA

Practice address

795 Folsom St FL 1
San Francisco, CA 94107-4226

Phone

(855) 832-6727

NPI assigned

Feb 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1922509959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 FOLSOM ST FL 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074226",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FOLSOM ST FL 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074226",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMEJO",
        "first_name": "DENISE",
        "middle_name": "MARTINA",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-52496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ann Jassem Berman, PAC
• Peter Berman, MD
• Rebecca Berman, M.D.
• Russell Bennett Berman
• Arlene Bermann, LCSW
• Yamilee Odile Bermingham, M.D.
• Karla Bermudez Wagner, M.D.
• Camille Anne Echavez Bermudez
• Carlos Hernan Bermudez, NP
• Kenneth Michael Bermudez, M.D.

• Behavior Analyst in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.