Provider Demographics
NPI:1255724308
Name:BERNHARD, JAMES EDWARD (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:BERNHARD
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01098-9581
Mailing Address - Country:US
Mailing Address - Phone:134-695-6929
Mailing Address - Fax:
Practice Address - Street 1:151 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CUMMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01026-9501
Practice Address - Country:US
Practice Address - Phone:413-634-3600
Practice Address - Fax:413-634-5300
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN265692363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health