MS. KATHLEEN RUTH BERGEN (NPI# 1144743022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144743022 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN RUTH BERGEN |
| Other Name | MS. KATHLEEN RUTH CHAVOOR-BERGEN |
| Credential | MFT-I |
| Practice Address |
1141 W Shaw Ave Ste 203 Fresno CA 93711-3713 |
| Practice Telephone | (559) 449-2730 |
| Mailing Telephone | 5594492730 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY20546 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSCY20546 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 99895 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1141 W SHAW AVE STE 203 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540141 | Nina Coffin | Marriage & Family Therapist | 5151 N Palm Ave Ste 720, Fresno, CA 93704-2221 | 2020-08-29 |
| 1205464468 | Anahi Arias Aranda | Marriage & Family Therapist | 3645 W Shaw Ave # 101, Fresno, CA 93711-3206 | 2020-03-31 |
| 1396396800 | Sarah Settle | Marriage & Family Therapist | 1744 E Nees Ave, Fresno, CA 93720-2301 | 2019-09-25 |
| 1285192096 | Antionette Brookins & Associates, Corp | Marriage & Family Therapist | 5275 N 1st St, Fresno, CA 93710-7007 | 2019-03-11 |
| 1285107771 | Timothy Childs | Marriage & Family Therapist | 4928 E Clinton Way #108, Fresno, CA 93727-1526 | 2019-01-07 |
| 1922578574 | Dalise N Smith | Marriage & Family Therapist | 6224 W Belmont Ave, Fresno, CA 93723-9556 | 2018-11-27 |
| 1265908560 | Diana Hernandez-zamarripa | Marriage & Family Therapist | 1350 Van Ness Ave, Fresno, CA 93721-1714 | 2018-10-15 |
| 1093296279 | Emma Shaljyan | Marriage & Family Therapist | 2025 E Dakota Ave Ste 200, Fresno, CA 93726-4804 | 2018-08-24 |
| 1063993756 | Destination.hope Counseling & Enrichment Center | Marriage & Family Therapist | 5756 N Marks Ave Ste 156, Fresno, CA 93711-2171 | 2018-08-22 |
| 1760970412 | Ariel A Floriano | Marriage & Family Therapist | 2002 N Fine Ave Ste 101, Fresno, CA 93727-1511 | 2018-04-27 |
| Find all providers in FRESNO | ||||
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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.