Basic Information
Provider Information
NPI: 1609282755
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BERNIER
FirstName: SARAH
MiddleName: IRENE
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 845 N BROADWAY
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106032427
CountryCode: US
TelephoneNumber: 9147610600
FaxNumber: 9147615367
Practice Location
Address1: 141 N CENTRAL AVE
Address2:  
City: HARTSDALE
State: NY
PostalCode: 105301912
CountryCode: US
TelephoneNumber: 9149497699
FaxNumber: 9149493224
Other Information
ProviderEnumerationDate: 07/09/2014
LastUpdateDate: 10/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XF401795-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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