JESSICA M BERNACKI PH.D.
NPI 1346598133
Psychologist - Clinical in Santa Monica, CA

Active since August 27, 2012PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1245 16TH ST, SUITE 125, SANTA MONICA, CA 90404(310) 315-8900(310) 315-8902 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica M Bernacki Ph.d. NPPES

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

JESSICA M BERNACKI PH.D. (NPI 1346598133) is an individual clinical provider in Santa Monica, California, licensed in California (25954) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346598133
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJESSICA M BERNACKICredential: PH.D.
Location Address1245 16TH ST, SUITE 125Santa Monica, CA 90404-1235
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 315-8902
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 27, 2012
Last NPPES UpdateJanuary 7, 2020
NPI 1346598133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 25954
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 25954 (CA)
1245 16TH ST, Santa Monica, CA 90404

Other Names 1

Former Name (1)Jessica M Joseph

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica M Bernacki Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779711205
PECOS Enrollment IDI20140108001064
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

Internal Medicine (Interventional Cardiology)
1245 16TH ST, SUITE 307
SANTA MONICA, CA 90404
Obstetrics & Gynecology
1245 16TH ST, 202
SANTA MONICA, CA 90404
Allergy & Immunology
1245 16TH ST
SANTA MONICA, CA 90404
Family Medicine (Geriatric Medicine)
1245 16TH ST, SUITE 204
SANTA MONICA, CA 90404
Nurse Practitioner (Pediatrics)
1245 16TH ST
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST, SUITE 125
SANTA MONICA, CA 90404
Marriage & Family Therapist
1245 16TH ST, SUITE 210
SANTA MONICA, CA 90404
Internal Medicine (Geriatric Medicine)
1245 16TH ST, # 125
SANTA MONICA, CA 90404

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 Jessica Bernacki's NPI number?

The NPI number for Jessica Bernacki is 1346598133. It was assigned to this individual provider in the NPPES registry on August 27, 2012. The provider is also known as Jessica M Joseph.

Where is Jessica Bernacki located?

Jessica Bernacki practices at 1245 16th St Suite 125, Santa Monica, CA 90404. The listed phone number is (310) 315-8900.

What is Jessica Bernacki's specialty?

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

Is Jessica Bernacki enrolled in Medicare?

Yes. Jessica Bernacki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Bernacki was last updated on January 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.