DR. BERNARDINE SUPPA PSY D
NPI 1497809438
Psychologist in West Pittston, PA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
16 LUZERNE AVE, WEST PITTSTON, PA 18643(570) 961-3361(570) 961-3364 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Bernardine Suppa Psy D NPPES

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

DR. BERNARDINE SUPPA PSY D (NPI 1497809438) is an individual psychologist in West Pittston, Pennsylvania, licensed in Pennsylvania (PS008862L) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1497809438
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BERNARDINE SUPPACredential: PSY D
Location Address16 LUZERNE AVEWest Pittston, PA 18643-2817
Mailing Address38 North StCourtdale, PA 18704-1713 · (570) 288-2430
Fax(570) 961-3364
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 23, 2007
Last NPPES UpdateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1497809438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS008862L
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS008862L (PA)
16 LUZERNE AVE, West Pittston, PA 18643

Other Names 1

Other Name (5)Mrs. Bernardine Dennis

Secondary Practice Locations 3

Location 138 North StCourtdale, PA 18704-1713 · Phone (570) 288-2430
Location 2189 Market StKingston, PA 18704-5400 · Phone (570) 961-3364 · Fax (570) 961-3364
Location 3308 E 2nd StBloomsburg, PA 17815-1869 · Phone (570) 961-3361 · Fax (570) 961-3364

Other Identifiers 1

Medicaid0017502200004PA

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

Dr. Bernardine Suppa Psy 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 ID4688055445
PECOS Enrollment IDI20220726000176
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
179 services18 patients

Other Providers at the Same Location NPPES 6

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

Chiropractor
16 LUZERNE AVE, SUITE 160
WEST PITTSTON, PA 18643
Social Worker (School)
16 LUZERNE AVE
WEST PITTSTON, PA 18643
Family Medicine
16 LUZERNE AVE, SUITE 125
WEST PITTSTON, PA 18643
Student in an Organized Health Care Education/Training Program
16 LUZERNE AVE
WEST PITTSTON, PA 18643
Counselor (Professional)
16 LUZERNE AVE
WEST PITTSTON, PA 18643
Social Worker
16 LUZERNE AVE
WEST PITTSTON, PA 18643

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 Bernardine Suppa's NPI number?

The NPI number for Bernardine Suppa is 1497809438. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Mrs. Bernardine Dennis.

Where is Bernardine Suppa located?

Bernardine Suppa practices at 16 Luzerne Ave, West Pittston, PA 18643. The listed phone number is (570) 961-3361.

What is Bernardine Suppa's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Bernardine Suppa enrolled in Medicare?

Yes. Bernardine Suppa 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 Bernardine Suppa was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.