=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710883939
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIRDSONG HEALING PSYCHIATRY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2026
-----------------------------------------------------
Last Update Date | 10/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27 PALMER SQ E
-----------------------------------------------------
City | PRINCETON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08542-3744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-481-7212
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27 PALMER SQ E
-----------------------------------------------------
City | PRINCETON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08542-3744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-481-7212
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. BERNADETTE ALEXANDER
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 609-481-7212
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------