Provider Demographics
NPI:1992360853
Name:BERNFELD, BARRY (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:BERNFELD
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8858 CASHIO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3306
Mailing Address - Country:US
Mailing Address - Phone:310-890-7309
Mailing Address - Fax:
Practice Address - Street 1:10530 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4951
Practice Address - Country:US
Practice Address - Phone:310-785-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY10039OtherPSYCHOLOGIST LICENSE