JESSICA M BERNACKI (NPI# 1346598133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346598133 |
| Entity Type | Individual |
| Full Name | JESSICA M BERNACKI |
| Other Name | JESSICA M JOSEPH |
| Credential | PH.D. |
| Practice Address |
1245 16th St Suite 125 Santa Monica CA 90404-1235 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3103158900 |
| Practice Fax Number | 3103158902 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25954 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
25954 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1245 16TH ST SUITE 125 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063479038 | Uc Regents Ucla Dmpg Santa Monica Cardiology | Internal Medicine | 1245 16th St, Suite 307, Santa Monica, CA 90404-1235 | 2006-04-26 |
| 1588907893 | Michelle Tricia Panlilio | Nurse Practitioner | 1245 16th St, #206, Santa Monica, CA 90404-1235 | 2013-04-04 |
| 1376816355 | Stephanie Shulenberger | Marriage & Family Therapist | 1245 16th St, Suite 210, Santa Monica, CA 90404-1235 | 2012-02-21 |
| 1952605347 | Jennifer Barnato | Nurse Practitioner | 1245 16th St, Suite 305, Santa Monica, CA 90404-1235 | 2010-12-29 |
| 1982921276 | Brianne Dela Rama Romeroso | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2010-04-26 |
| 1083931521 | Alexander Chiang | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2010-04-23 |
| 1245477652 | Yung-shee Jessica Hsu | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2009-01-07 |
| 1447495411 | Michelle Fabiola Rios | Internal Medicine | 1245 16th St, Suite 125, Santa Monica, CA 90404-1235 | 2008-12-04 |
| 1407008907 | Amy Marie Stoddard | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2008-10-15 |
| 1124285424 | Hong-phuc Thi Tran | Family Medicine | 1245 16th St, Suite 204, Santa Monica, CA 90404-1235 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878181 | Kathryn Eva Sparks | Psychologist | 344 E Rustic Rd, Santa Monica, CA 90402-1145 | 2019-02-25 |
| 1255833596 | June Henderson Mayes | Psychologist | 2444 Wilshire Blvd Ste 400, Santa Monica, CA 90403-5810 | 2018-03-02 |
| 1518475946 | Philip Sayegh | Psychologist | 3301 Ocean Park Blvd Ste 203, Santa Monica, CA 90405-3230 | 2018-01-19 |
| 1881123917 | Brenda Heidrich | Psychologist | 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 | 2017-06-12 |
| 1851838726 | John Watkins | Psychologist | 429 Santa Monica Blvd Ste 200, Santa Monica, CA 90401-3408 | 2017-01-30 |
| 1487198503 | Cathy Quinn | Psychologist | 1137 Second St., #204, Santa Monica, CA 90403-5092 | 2016-12-08 |
| 1639500234 | Alexandra Emmons | Psychologist | 2730 Wilshire Blvd Ste 600-1, Santa Monica, CA 90403-4743 | 2013-12-06 |
| 1558708404 | Nicholas W Techentin | Psychologist | 715 23rd St, Santa Monica, CA 90402-3131 | 2013-06-02 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1043588775 | Timothy Kenji Wong | Psychologist | 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405-3230 | 2011-12-08 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on JESSICA M BERNACKI.
| 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.