Provider Demographics
NPI:1710587084
Name:MEREDITH BERNFELD, PH.D., PSYCHOLOGY, P.L.L.C.
Entity Type:Organization
Organization Name:MEREDITH BERNFELD, PH.D., PSYCHOLOGY, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:BERNFELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:646-970-2330
Mailing Address - Street 1:135 OCEAN PARKWAY
Mailing Address - Street 2:SUITE 1P
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218
Mailing Address - Country:US
Mailing Address - Phone:646-970-2330
Mailing Address - Fax:844-670-5909
Practice Address - Street 1:135 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2567
Practice Address - Country:US
Practice Address - Phone:646-970-2330
Practice Address - Fax:844-670-5909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty