Stacey J Bernstein, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A89725 Issued in CA

Practice address

14530 Hamlin St
Van Nuys, CA 91411-1607

Phone

(818) 373-4993

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1992823330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455632",
            "telephone_number": "310-301-8708",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14530 HAMLIN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111607",
            "telephone_number": "818-373-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A89725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A897250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando Bernal Jr.
• Bernard Monderer MD
• Bernard Monderer, MD, Inc.
• Gwendolyn Rebecca Bernardo, MASSAGE THERAPIST
• Rachelle A. Bernardo, PA-C
• Martin Gerald Bernstone, DPM
• Josephine Rivas Berrones
• Carolyn Marie Berry
• Carmen Bertero
• Todd Sterling Bertola

• Psychiatry Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.