Active NPIIndividual providerSole proprietor

Dr. Berns R Mimnaugh, PHD

Psychologist, Clinical in Lenox, Massachusetts

NPI Number1073660379
Practice location
405 Pittsfield RD, Unit I-1, Lenox, MA 01240-2901
Fax
413-236-5701
Last updated
July 8, 2007

Berns Robert Mimnaugh is a Psychologist, Clinical based in Lenox, MA. Berns Robert Mimnaugh practices in Lenox, MA and has the professional credentials of PHD. The NPI Number for Berns Robert Mimnaugh is 1073660379 and holds a License No. 901 (MA). The current practice location address for Berns Robert Mimnaugh is 405 Pittsfield RD, Unit I-1, Lenox, MA 01240-2901 and can be reached out via phone at 413-236-5700 and via fax at 413-236-5701.

Provider Profile Details

NPI Number
1073660379
Provider Name
Berns Robert Mimnaugh
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
405 Pittsfield RD, Unit I-1, Lenox, MA 01240-2901
Phone Number
413-236-5700
Fax Number
413-236-5701
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
Dr. Berns Robert Mimnaugh, PHD (Other Name)
Provider Enumeration Date
January 5, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
405 Pittsfield RD
Unit I-1
Lenox, MA 01240-2901
City
Lenox
Zip
01240-2901
Phone Number
413-236-5700
Fax Number
413-236-5701
Lenox, MA 01240Get directions →

Provider Business Mailing Address Details

Address
405 Pittsfield RD
Unit I-1
Lenox, MA 01240-2901
City
Lenox
State
MA
Zip
01240-2901
Phone Number
413-236-5700
Fax Number
413-236-5701

License Information

License Number
901
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Berns R Mimnaugh, PHD?

The NPI number of Dr. Berns R Mimnaugh, PHD is 1073660379. It was assigned on January 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Berns R Mimnaugh, PHD?

Dr. Berns R Mimnaugh, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 901.

Where does Dr. Berns R Mimnaugh, PHD practice?

The practice location is 405 Pittsfield RD, Unit I-1, Lenox, MA 01240-2901. The office can be reached at 413-236-5700 (phone) or 413-236-5701 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073660379 directly on the NPPES registry website.

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