Provider Demographics
NPI:1417104506
Name:SAKAI, BERNADETTE E (PSYD)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:E
Last Name:SAKAI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:BERNADETTE
Other - Middle Name:B
Other - Last Name:ESPELETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:6614 CLOUDS PT
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-4634
Mailing Address - Country:US
Mailing Address - Phone:808-391-4560
Mailing Address - Fax:
Practice Address - Street 1:6614 CLOUDS PT
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-4634
Practice Address - Country:US
Practice Address - Phone:808-391-4560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
HI1181103TC0700X
TX34616103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health