1. Home
  2. Directory
  3. Michigan
  4. Jenison
  5. Psychologist
  6. NPI Profile

DR. NICHOLAS RUBEN DEBERNARDI PH. D.
NPI 1164768065
Psychologist - Clinical in Jenison, MI

Active since December 20, 2012
1836 BALDWIN ST, JENISON, MI 49428(616) 457-0016(616) 457-1950 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas Ruben Debernardi Ph. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS RUBEN DEBERNARDI PH. D. (NPI 1164768065) is an individual clinical provider in Jenison, Michigan, licensed in Michigan (6301015230) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1164768065
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICHOLAS RUBEN DEBERNARDICredential: PH. D.
Location Address1836 BALDWIN STJenison, MI 49428-8901
Mailing Address1836 Baldwin StJenison, MI 49428-8901 · (616) 457-0016 · Fax (616) 457-1950
Phone(616) 457-0016
Fax(616) 457-1950
Sole ProprietorYes
Enumeration DateDecember 20, 2012
✔ NPI 1164768065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301015230
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1836 BALDWIN ST, Jenison, MI 49428
Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATIE IRENE GENDRON LMSW
Social Worker (Clinical)
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
MARGARET COHEN
Social Worker (Clinical)
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
MRS. PATRICIA G ESPINOZA LLP
Psychologist
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
ANGELA IACOBONI LLMSW
Social Worker (Clinical)
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
ALLIE JO RAUSER LLMSW
Social Worker (Clinical)
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
KARA ANNECHARICO
Psychologist
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016
PERSPECTIVES OF TROY, PC
Psychologist
1836 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-0016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Debernardi's NPI number?

The NPI number for Nicholas Debernardi is 1164768065. It was assigned to this individual provider in the NPPES registry on December 20, 2012.

Where is Nicholas Debernardi located?

Nicholas Debernardi practices at 1836 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 457-0016.

What is Nicholas Debernardi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Nicholas Debernardi was last updated on December 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.