Individual provider Active NPI

Janet Lee Bernabo, PH.D.

  • Clinical Psychologist
  • Chula Vista, CA
National Provider Identifier
1942220801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7951 Issued in CA
Practice address
1415 Ridgeback Rd Ste 2
Chula Vista, CA 91910-6983
Phone
(619) 656-3775
Fax
(858) 549-3146
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7951 CA Primary

Addresses

Primary practice location

1415 Ridgeback Rd Ste 2
Chula Vista, CA 91910-6983

Mailing address

11815 Caminito Sanudo
San Diego, CA 92131-2103
Phone (858) 549-0542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7951CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bernabo & Hogan Psychological Corp. Clinical Past Accepting new patients

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942220801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 CAMINITO SANUDO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312103",
            "telephone_number": "858-549-0542",
            "fax_number": "858-549-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106983",
            "telephone_number": "619-656-3775",
            "fax_number": "858-549-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABO",
        "first_name": "JANET",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.