Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Ruben Debernardi, PHD

Individual provider Clinical Psychologist · NPI 1164768065

Dr. Nicholas Ruben Debernardi, PHD is a Clinical Psychologist in Jenison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1836 Baldwin St
Jenison, MI 49428-8901
Phone: (616) 457-0016
Fax: (616) 457-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301015230 (MI)

Record details

NPI number1164768065
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 20, 2012
Last updated in NPPESDecember 20, 2012

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