ANDREA JILL BERGMAN (NPI# 1184864357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184864357 |
| Entity Type | Individual |
| Full Name | ANDREA JILL BERGMAN |
| Credential | PH.D. |
| Practice Address |
15211 Union Tpke. Center for Psychological Services Flushing NY 11367 |
| Mailing Address |
8000 Utopia Pkwy Saint John's University Jamaica NY 11439 |
| Practice Telephone | 7189901550 |
| Mailing Telephone | 7189901550 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
010356-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1578730768 | Andrea C Bergman | Occupational Therapist | 193 Sam Lisenby Rd, Ozark, AL 36360-3048 | 2008-05-15 |
| Street Address |
15211 UNION TPKE. CENTER FOR PSYCHOLOGICAL SERVICES |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356825376 | Yohana Plester | Psychologist | 14015 Sanford Ave Ste B, Flushing, NY 11355-2688 | 2018-09-17 |
| 1295125110 | Queens Cognitive Behavioral Therapy Center | Psychologist | 14108 Jewel Ave, Flushing, NY 11367-1618 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1770180325 | Jonathan Rosen | Psychologist | 1760 2nd Ave Apt 18a, New York, NY 10128-5392 | 2020-10-07 |
| 1245837855 | Aunree J. Houston | Psychologist | 400 W 37th St Apt 10y, New York, NY 10018-5631 | 2020-10-06 |
| 1255944377 | Mindwell Center, LLP | Psychologist | 950 Danby Rd Ste 202f, Ithaca, NY 14850-5714 | 2020-08-28 |
| 1417575754 | Donato Vaccaro | Psychologist | 40 Deerfield Ave, Eastchester, NY 10709-3805 | 2020-07-13 |
| 1902432511 | Nancy Langdon | Psychologist | 410 Fort Salonga Rd, Northport, NY 11768-3046 | 2020-03-14 |
| 1386281376 | Grand Central Psychology Pllc | Psychologist | 50 E 42nd St Rm 1807, New York, NY 10017-5402 | 2019-12-09 |
| 1730722232 | Shimon N Littman | Psychologist | 495 W 187th St Apt 5e, New York, NY 10033-1521 | 2019-10-28 |
| 1821645367 | Rd Community Services LLC | Psychologist | 1049 38th St Ste B, Brooklyn, NY 11219-1012 | 2019-08-20 |
| 1881250041 | New Perspective Psychological Services | Psychologist | 1170a Ocean Ave, Brooklyn, NY 11230-1904 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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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.