DR. COURTNEY JORGENSON BERNARDIN PHD
NPI 1225989825
Psychologist - Clinical Child & Adolescent in Columbia, MO

Q: What is Courtney Bernardin's NPI number?

The NPI number for Courtney Bernardin is 1225989825. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Q: What is Courtney Bernardin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since February 09, 2026PECOS Enrolled

701 VETERANS UNITED DR, COLUMBIA, MO 65201(573) 884-6052(573) 884-1151 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Courtney Jorgenson Bernardin Phd NPPES

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

DR. COURTNEY JORGENSON BERNARDIN PHD (NPI 1225989825) is an individual clinical child & adolescent provider in Columbia, Missouri, licensed in Missouri (2025053851) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225989825

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. COURTNEY JORGENSON BERNARDINCredential: PHD

Location Address701 VETERANS UNITED DRColumbia, MO 65201-4236

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-6052

Fax(573) 884-1151

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 9, 2026

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1225989825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MO · 2025053851

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2025053851 (MO)

701 VETERANS UNITED DR, Columbia, MO 65201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Courtney Jorgenson Bernardin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486127503

PECOS Enrollment IDI20260620000462

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JENNIFER NICOLE BOWLER DPN, PNP

Nurse Practitioner (Pediatrics)