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

Q: 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.

Q: What is Nicholas Debernardi's specialty?

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

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: August 16, 2026.

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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

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