DR. DOUGLAS B. BERNON (NPI# 1578709176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578709176 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS B. BERNON |
| Credential | PH.D., PH.D. |
| Practice Address |
13 Baker Rd Portsmouth RI 02871-1708 |
| Practice Telephone | 4012930343 |
| Mailing Telephone | 4012930343 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
425 | RI | Behavioral Health & Social Service Providers |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
425 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COUNCIL FOR THE NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN | 42653 | 01 | |
| AMERICAN PSYCHOLOGICAL ASSOCIATION | 3609-8192 | 01 | |
| RI | STATE OF RHODE ISLAND DEPARTMENT OF HEALTH | LICENSE 425 | 01 |
| Street Address |
13 BAKER RD |
| City | PORTSMOUTH |
| State | RI |
| Zip Code | 02871-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
| 1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
| 1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
| 1720378623 | Thomas Francis Reitano | Pharmacist | 3034 East Main Rd, Portsmouth, RI 02871 | 2011-04-12 |
| 1063716793 | Amber Kaltenstein | Psychologist | 2820 E Main Rd, Portsmouth, RI 02871 | 2011-01-10 |
| 1760660773 | Susan Mandrachia Killebrew | Social Worker | 107 Clock Tower Square, Portsmouth, RI 02871 | 2008-02-01 |
| 1235348335 | East Bay Endoscopy Center LLC | Clinic/Center | 109 Clock Tower Square, Portsmouth, RI 02871 | 2007-05-22 |
| 1346369147 | Todd Matthew Carbone | Physical Therapy Assistant | 459 Wapping Rd, Portsmouth, RI 02871 | 2007-03-29 |
| 1952436032 | Newport County Regional Special Education | Local Education Agency (LEA) | Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 | 2007-02-22 |
| 1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
| Find all providers in zip 02871 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932626231 | Child Specialty Services LLC | Psychologist | 11 King Charles Dr # 4b, Portsmouth, RI 02871-1446 | 2017-08-28 |
| 1457715476 | Unity Outreach Ministries of America, Inc | Psychologist | 1128 London Blvd, Portsmouth, VA 23704-2246 | 2016-04-06 |
| 1619392503 | Chestnut Hill Counseling Associates - Portsmouth LLC | Psychologist | 539 Islington St Ste 4, Portsmouth, NH 03801-4471 | 2014-02-28 |
| 1235400953 | Jennifer L Gray | Psychologist | 362 Sherburne Rd, Portsmouth, NH 03801-4744 | 2012-01-26 |
| 1568607521 | Joseph M. Carver, Ph.d., Inc. | Psychologist | 500 Chillicothe St, Suite 306, Portsmouth, OH 45662-4179 | 2008-12-04 |
| 1801011754 | Sara Julianne Lauren | Psychologist | 118 Maplewood Ave Unit B2, Portsmouth, NH 03801-3787 | 2007-04-16 |
| 1063557734 | Christina A Carmody | Psychologist | 3116 Rolen Dr, Portsmouth, VA 23703-4726 | 2007-02-21 |
| 1760521843 | Jeffrey M Wagner | Psychologist | 500 Market Street 1-g, Portsmouth, NH 03801 | 2007-02-06 |
| 1346316387 | Ellen Harrison Barnett | Psychologist | 58 Washington St Ste 1, Portsmouth, NH 03801-4639 | 2006-11-28 |
| 1871697227 | Howard Israel Benesch | Psychologist | 11 King Charles Drive, Suite 11 4b, Portsmouth, RI 02871 | 2006-09-07 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 02871 |
Please comment or provide details below to improve the information on DR. DOUGLAS B. BERNON.
| 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.