Active NPIIndividual providerSole proprietor

Dr. Douglas B Bernon, PHD, PHD

Psychologist, Clinical in Portsmouth, Rhode Island

NPI Number1578709176
Practice location
13 Baker RD, Portsmouth, RI 02871-1708
Fax
—
Last updated
March 2, 2012

Douglas B. Bernon is a Psychologist, Clinical based in Portsmouth, RI. Douglas B. Bernon practices in Portsmouth, RI and has the professional credentials of PHD, PHD. The NPI Number for Douglas B. Bernon is 1578709176 and holds a License No. 425 (RI). The current practice location address for Douglas B. Bernon is 13 Baker RD, Portsmouth, RI 02871-1708 and can be reached out via phone at 401-293-0343.

Provider Profile Details

NPI Number
1578709176
Provider Name
Douglas B. Bernon
Credential
PHD, PHD
Provider Entity Type
Individual
Gender
Male
Address
13 Baker RD, Portsmouth, RI 02871-1708
Phone Number
401-293-0343
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2009
Last Update Date
March 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Baker RD
Portsmouth, RI 02871-1708
Zip
02871-1708
Phone Number
401-293-0343
Portsmouth, RI 02871Get directions →

Provider Business Mailing Address Details

Address
13 Baker RD
Portsmouth, RI 02871-1708
City
Portsmouth
State
RI
Zip
02871-1708
Phone Number
401-293-0343

License Information

License Number (1)
425
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
425
License State (2)
RI
Taxonomy (2)
Psychologist, Psychoanalysis · 103TP0814X

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. Douglas B Bernon, PHD, PHD?

The NPI number of Dr. Douglas B Bernon, PHD, PHD is 1578709176. It was assigned on January 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas B Bernon, PHD, PHD?

Dr. Douglas B Bernon, PHD, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number 425.

Where does Dr. Douglas B Bernon, PHD, PHD practice?

The practice location is 13 Baker RD, Portsmouth, RI 02871-1708. The office can be reached at 401-293-0343 (phone).

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 1578709176 directly on the NPPES registry website.

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