JOANNA BERMUDEZ
NPI 1831676519
Counselor - Mental Health in Bronx, NY

Q: What is Joanna Bermudez's NPI number?

The NPI number for Joanna Bermudez is 1831676519. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Q: What is Joanna Bermudez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Joanna Bermudez was last updated on November 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 25, 2018PECOS Enrolled

2590 FRISBY AVE, BRONX, NY 10461(718) 239-1610 Get Directions Write a Review

NPPES record last updated: November 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2021, Jul 25, 2018 (2 updates tracked since 2018).

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About Joanna Bermudez NPPES

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

JOANNA BERMUDEZ (NPI 1831676519) is an individual mental health provider in Bronx, New York, licensed in New York (011524) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831676519

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJOANNA BERMUDEZ

Location Address2590 FRISBY AVEBronx, NY 10461-3240

Mailing Address495 Odell Ave Apt 5bYonkers, NY 10703-1139 · (914) 510-3736

Phone(718) 239-1610

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 25, 2018

Last NPPES UpdateNovember 13, 20212 updates tracked since enumeration

NPPES CertifiedNovember 13, 2021

✔ NPI 1831676519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in NY · 011524✔ Licensed in NY · P11889

2590 FRISBY AVE, Bronx, NY 10461

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Secondary Practice Location 1

Location 12855 Telegraph Ave Ste 515Berkeley, CA 94705-1151 · Phone (510) 345-4379

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Bermudez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799240818

PECOS Enrollment IDI20260720002485

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.

Medicare Billing Reassignment

Medicare enrollment records show Joanna Bermudez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,101 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, New York enrollment
867 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

DR. RYAN W. ROGERS M.D.

Ophthalmology