MEDICARE: ACCESSIBLE PSYCHIATRIC SPECIALIST LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1942950886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSIBLE PSYCHIATRIC SPECIALIST LLC

Provider Business Mailing Address
First Line	:	391 FYNN VALLEY DRIVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4454
Country	:	US
Telephone Number	:	714-330-5616
Fax Number	:

Provider Business Practice Location Address
First Line	:	2031 MCDANIEL STREET
Second Line	:	SUITE 170
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6325
Country	:	US
Telephone Number	:	714-330-5616
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEVIN BERNSTEIN
Credential	:	M.D.
Telephone Number	:	702-506-3139

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	03/24/2022

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