REBECCA BERGERON (NPI# 1114220159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114220159 |
| Entity Type | Individual |
| Full Name | REBECCA BERGERON |
| Credential | MSW, LGSW |
| Practice Address |
1001 W Saratoga St Baltimore MD 21223-1915 |
| Mailing Address |
1401 Severn St #1 Baltimore MD 21230-1740 |
| Practice Telephone | 4103961290 |
| Mailing Telephone | 4107525525 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
14999 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| 1518270313 | Rebecca Ann Bergeron | Counselor | 1019 Route 132, Hyannis, MA 02601-1839 | 2010-07-21 |
| Street Address |
1001 W SARATOGA ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174180483 | Adria Pollack | Social Worker | 1001 W Saratoga St, Baltimore, MD 21223-1915 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1962002709 | This Generation Will Succeed, LLC | Counselor | 2835 Odonnell St Ste 203, Baltimore, MD 21224-4995 | 2020-10-30 |
| 1174123244 | Alexia N Smith | Counselor | 841 E Fort Ave # 385, Baltimore, MD 21230-5117 | 2020-10-28 |
| 1578179396 | Jomar Nicholas Mcfarlane | Counselor | 141 N Patterson Park Ave, Baltimore, MD 21231-1659 | 2020-09-17 |
| 1871106559 | Diana Harden | Counselor | 5022 Campbell Blvd # L-m, Baltimore, MD 21236-4969 | 2020-08-24 |
| 1053922708 | Shaindel Edelman | Counselor | 17 Warren Rd Ste 25b, Baltimore, MD 21208-5334 | 2020-08-14 |
| 1912524323 | Lydia Hubbard | Counselor | 1800 N Charles St Ste 1600, Baltimore, MD 21201-5920 | 2020-07-01 |
| 1184249922 | Building People Behavioral Health | Counselor | 2140 Mcculloh St, Baltimore, MD 21217-3529 | 2020-06-08 |
| 1033733274 | The Improving Quality of Life, LLC | Counselor | 5602 Baltimore National Pike Suite 300, Baltimore, MD 21228-1410 | 2020-06-03 |
| 1053933986 | David Lewis | Counselor | 125 N Hilton St, Baltimore, MD 21229-3748 | 2020-05-14 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.