DR. CAROLYN GREEN BERNACKI (NPI# 1811128499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811128499 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN GREEN BERNACKI |
| Credential | D.O. |
| Practice Address |
795 Woodlane Rd Suite 301 Westampton NJ 08060-3832 |
| Practice Telephone | 6092671377 |
| Mailing Telephone | 6092671377 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MB09022100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
795 WOODLANE RD SUITE 301 |
| City | WESTAMPTON |
| State | NJ |
| Zip Code | 08060-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376604223 | Margaret Ann Willman | Psychiatry & Neurology | 795 Woodlane Rd, Suite 301, Westampton, NJ 08060-3832 | 2006-12-13 |
| 1386250645 | Amanda Graga | Social Worker | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2020-09-21 |
| 1124672423 | Oaks Integrated Care | Clinic/Center | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2019-07-25 |
| 1881153732 | Miriam Rebekah Egan | Counselor | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2019-03-19 |
| 1265991202 | Cinthya Castro | Counselor | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2019-03-19 |
| 1386115780 | Victoria Ann Heifet | Social Worker | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2018-12-10 |
| 1639611817 | Jericka Brown | Counselor | 795 Woodlane Rd, Suite 301, Westampton, NJ 08060-3832 | 2016-11-05 |
| 1841673407 | Legacy Treatment Services | Community/Behavioral Health | 795 Woodlane Rd, Suite #301, Westampton, NJ 08060-3832 | 2015-07-01 |
| 1437548633 | Stephanie Lyman | Counselor | 795 Woodlane Rd, 3rd Floor, Westampton, NJ 08060-3832 | 2015-01-12 |
| 1053709097 | Alison Botto | Counselor | 795 Woodlane Rd, Suite 301, Westampton, NJ 08060-3832 | 2014-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538233721 | Charles Joseph Trigiani | Psychiatry & Neurology | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | WESTAMPTON |
| Zip Code | 08060 |
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| 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.