Healthcare Provider Details

I. General information

NPI: 1184550832
Provider Name (Legal Business Name): BRUCE H KERNER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 E 20TH ST APT 14E
NEW YORK NY
10010-7517
US

IV. Provider business mailing address

441 E 20TH ST APT 14E
NEW YORK NY
10010-7517
US

V. Phone/Fax

Practice location:
  • Phone: 917-647-9833
  • Fax:
Mailing address:
  • Phone: 917-647-9833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number011606
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: