Provider Demographics
NPI:1871930875
Name:PINTO, BERNARDINE (PHD)
Entity type:Individual
Prefix:DR
First Name:BERNARDINE
Middle Name:
Last Name:PINTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 SUMMIT AVE. CORO WEST, SUITE 309,
Mailing Address - Street 2:MIRIAM HOSPITAL, CBPM,
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906
Mailing Address - Country:US
Mailing Address - Phone:401-793-8230
Mailing Address - Fax:
Practice Address - Street 1:164 SUMMIT AVE. CORO WEST, SUITE 309,
Practice Address - Street 2:MIRIAM HOSPITAL, CBPM,
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906
Practice Address - Country:US
Practice Address - Phone:401-793-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI507103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical