Keith Bernardo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35134 Issued in TX

Practice address

8333 Douglas Ave
Suite 1240
Dallas, TX 75225-5845

Phone

(214) 361-2622

Fax

(214) 361-8649

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1982953931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 DOUGLAS AVE",
            "address_2": "SUITE 1240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255845",
            "telephone_number": "214-361-2622",
            "fax_number": "214-361-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 DOUGLAS AVE",
            "address_2": "SUITE 1240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255845",
            "telephone_number": "214-361-2622",
            "fax_number": "214-361-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amparo Bernal, MD
• Bradley Leston Bernard, MD
• Gloria Jean Bernard, RN, ANP
• Philip A Bernard, MD
• Sherrie Bernardin, R.N., C.N.O.R.
• Monica Berndt
• Bradford Bernert, MPH, MMSC, AA-C
• Rebecca K Bernhardt, P.T.
• Bernie L McCaskill, M.D., P.a.
• Emily Bernstein, PH.D.

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.