Bernadine Payton, MS.ED, BSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 Airport North Office Park
Raj Clinics
Fort Wayne, IN 46825

Phone

(260) 490-8352

NPI assigned

Nov 19, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for Neurobehavioral Services Inc

  dba CNS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1548275258
  Medicare reassignment NPD
• Raj Clinics Professional Services Corporation

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1013072180
  NPD (past)
• Raj Clinics Professional Services Corporation

  • Psychiatry Physician
  • Frankfort, IN
  • NPI 1467517532
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1932443702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 SELKIRK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468164186",
            "telephone_number": "260-447-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AIRPORT NORTH OFFICE PARK",
            "address_2": "RAJ CLINICS",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-490-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "BERNADINE",
        "name_prefix": "Mrs.",
        "credential": "MS.ED, BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13438",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan J Pawlow, M.D.
• Roy E Payne, LMFT
• Erica Ann Payson, BA
• Angela M. Payton, NP
• Antia Marie Payton
• Paytons Place, LLC
• Jeffrey Giron Payumo, M.D.
• Peace of Mind in Home Care, LLC (Peace Of Mind In Home Care)
• Peaceful Waves Counseling LLC
• Tina Peaks

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.

Verify at the official NPI Registry.