BRENDA BERNAZAR


Address: 30 Old Lyman Rd, South Hadley, MA 01075-2630
Phone: 4135337140

BRENDA BERNAZAR (NPI# 1487218178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487218178
Entity Type Individual
Full Name BRENDA BERNAZAR
Credential MS
Practice Address 30 Old Lyman Rd
South Hadley
MA 01075-2630
Mailing Address 45 Partridge Dr
Springfield
MA 01119-2127
Practice Telephone 4135337140
Mailing Telephone 4132096775
Enumeration Date 2019-04-28
Last Update Date 2019-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TUFTS 01020 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
45 Partridge Dr, Springfield, MA 011192127 4132096775

Office Location

Street Address 30 OLD LYMAN RD
City SOUTH HADLEY
State MA
Zip Code 01075-2630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245308063 Lauren Chase Speech-Language Pathologist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2006-12-01
1851934830 Erika Lamagdeleine Occupational Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-10-23
1891338174 Samon Davis Occupational Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-10-19
1154982692 Rachel Guerin Developmental Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-06-25
1407318793 Chantal Jocelyne Boucher Occupational Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-04-04
1922567429 Elizabeth Reardon Developmental Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-03-14
1851859409 Jamie P Fisher-hertz Developmental Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-03-02
1215491923 Cassandra Elisabeth Goncalves Speech-Language Pathologist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2019-01-27
1285120840 Elizabeth Gale Occupational Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2018-07-06
1831680594 Cassandra C Allard Developmental Therapist 30 Old Lyman Rd, South Hadley, MA 01075-2630 2018-05-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093279267 Sean Gremillion Physical Therapist 2122 573 Granby Rd, South Hadley, MA 01075 2019-01-22
1992226914 Shalimar Rucci Community Health Worker 258 Old Lyman Road, South Hadley, MA 01075 2017-06-29
1104288505 Northeast Behavioral Associates Home Health 285 Brainerd Street, South Hadley, MA 01075 2016-03-24
1326464744 Integrity Women's Health, LLC Psychologist 27 College Street, Suite 201, South Hadley, MA 01075 2014-03-10
1801145222 Health Imperatives, Inc. Clinic/Center 87 Canal Street, South Hadley, MA 01075 2012-08-30
1588832927 Kindreth D Hamilton Acupuncturist 27 College St., Suite 201, South Hadley, MA 01075 2008-02-20
1184802217 Sabrina Herman Social Worker 7 Hadley St., South Hadley, MA 01075 2008-01-31
1528251360 Nenita G Shea Psychiatry & Neurology 30 Riverwood, South Hadley, MA 01075 2007-08-24
1760691687 Monica J Drew Physical Therapy Assistant Wingate At South Hadley, 573 Granby Rd, South Hadley, MA 01075 2007-05-21
1053537142 Simon Taylor Social Worker James Levine & Associates, P.C., 9 College Street, Suite 6, South Hadley, MA 01075 2007-04-17
Find all providers in zip 01075

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548745227 Nicholas D Young Psychologist 59 Chestnut Hill Rd # 2, South Hadley, MA 01075-1717 2018-09-28
1326464744 Integrity Women's Health, LLC Psychologist 27 College Street, Suite 201, South Hadley, MA 01075 2014-03-10
1306153788 Scott Alan Markham Psychologist 16 Maria Dr, South Hadley, MA 01075-1810 2010-09-08
1801026380 Marianna Leonor Litovich Psychologist 20 Country Ln, South Hadley, MA 01075-2112 2009-07-20
1760636385 Rose Pendala Andrejczyk Psychologist 20 New Ludlow Rd, South Hadley, MA 01075-3002 2008-11-10
1750599957 Robert Davol Donovan Psychologist 7 Wright Pl, South Hadley, MA 01075-1517 2007-05-19
1356453070 Barry J Nigrosh Psychologist 25 College St, South Hadley, MA 01075-6460 2006-08-31
1164086963 Rosalyn Delia Devincentis Psychologist 9 College St Ste 6, South Hadley, MA 01075-1421 2019-04-26
1871072371 Anya Woronzoff Verriden Psychologist 9 College St Ste 6, South Hadley, MA 01075-1421 2018-08-07
1093200925 Elizabeth Feeney Psychologist 50 College St, South Hadley, MA 01075-1423 2018-06-23
Find all providers in SOUTH HADLEY

Competitor

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City SOUTH HADLEY
Zip Code 01075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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