NICOLE MARIE BERGAMO (NPI# 1588211874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588211874 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE BERGAMO |
| Credential | MA, TLLP |
| Practice Address |
10524 Grand River Rd Ste 100 Brighton MI 48116-9559 |
| Mailing Address |
4355 Aster Blvd Howell MI 48843-6629 |
| Practice Telephone | 3153450794 |
| Mailing Telephone | 3153450794 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6362001372 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306906771 | Nicole Francine Bergamo | Optometrist | 5880 Via Verona View, Colorado Springs, CO 80919-4804 | 2006-12-08 |
| Street Address |
10524 GRAND RIVER RD STE 100 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-9559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508209479 | Bryce Hella | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2013-04-10 |
| 1487262044 | Aubrey Lyn Borgen | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2020-07-20 |
| 1134767536 | Anna Shea Webber | Social Worker | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2019-12-16 |
| 1104481977 | Kira Boneff | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2019-05-07 |
| 1386134765 | Taylor Nezich | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2018-05-11 |
| 1629594627 | Krystal Waldo | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2017-08-21 |
| 1720502685 | Kelly Toggweiler | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2017-08-01 |
| 1942737937 | Heather Ann Schmitt | Counselor | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2017-05-22 |
| 1922470319 | Lisa Garg | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246241 | Maureen Kenny | Psychologist | 36 Cummings Rd Apt 3, Brighton, MA 02135-7344 | 2020-05-12 |
| 1386133049 | Ralph James Buonopane | Psychologist | 30 Warren St Unit 1, Brighton, MA 02135-3680 | 2018-05-08 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1013145879 | Mindful Living Pllc | Psychologist | 810 E Grand River Ave Ste 101, Brighton, MI 48116-1878 | 2009-06-30 |
| 1215176151 | Donnah Canavan | Psychologist | 16 Malbert Rd, Brighton, MA 02135-2619 | 2009-02-17 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1982737441 | Jeff David Froyd | Psychologist | 30 S 3rd Ave, Brighton, CO 80601-2008 | 2007-03-13 |
| 1043352701 | Peter M Lisiecki Phd PC Inc | Psychologist | 7960 W. Grand River, Ste 120, Brighton, MI 48114-7335 | 2007-02-12 |
| 1437218518 | Elaine Marie Tripi | Psychologist | 2000 Grand River Anx, Ste 300, Brighton, MI 48114-3800 | 2006-12-06 |
| 1184647455 | Olga C Bachmann-thompson | Psychologist | 325 E. Grand River, Ste. 7, Brighton, MI 48116 | 2006-07-26 |
| Find all providers in BRIGHTON | ||||
Please comment or provide details below to improve the information on NICOLE MARIE BERGAMO.
| 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.