BERGVIK COUNSELING SERVICES, LLC (NPI# 1720409733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720409733 |
| Entity Type | Organization |
| Organization Name | BERGVIK COUNSELING SERVICES, LLC |
| Practice Address |
3074 Whitney Ave Building 1-2nd Floor Hamden CT 06518-2391 |
| Practice Telephone | 8603052764 |
| Practice Fax Number | 2032872404 |
| Mailing Telephone | 8603052764 |
| Mailing Fax Number | 2032872404 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | MR. THOMAS ANTON BERGVIK (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 8603052764 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2440 | CT | Behavioral Health & Social Service Providers |
| Street Address |
3074 WHITNEY AVE BUILDING 1-2ND FLOOR |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801862073 | Linda Marie Hodgkins | Specialist | 3074 Whitney Ave, Building 1, Hamden, CT 06518-2391 | 2006-02-27 |
| 1467083055 | Lifespring Healthcare Services LLC | Nurse Practitioner | 3074 Whitney Ave, Hamden, CT 06518-2391 | 2020-01-31 |
| 1902346489 | Mary Ginnetti | Social Worker | 3074 Whitney Ave, Building 1, Hamden, CT 06518-2391 | 2017-03-02 |
| 1306296298 | Rachel Sprunger | Social Worker | 3074 Whitney Ave, Bldg 1 Suite 1, Hamden, CT 06518-2391 | 2016-06-21 |
| 1952646655 | Michelle Lynn Aafedt | Occupational Therapist | 3074 Whitney Ave, Building 1, Hamden, CT 06518-2391 | 2012-12-06 |
| 1265762827 | Thomas Anton Bergvik | Counselor | 3074 Whitney Ave, Building I 2nd Floor, Hamden, CT 06518-2391 | 2010-01-05 |
| 1285878306 | Quinnipiac Psychological Services, LLC | Psychologist | 3074 Whitney Ave, Building Two, Hamden, CT 06518-2391 | 2009-04-21 |
| 1376796730 | Irene M. O'brien | Social Worker | 3074 Whitney Ave, Mt Carmel Counseling & Psychotherapy 2nd Floor, Hamden, CT 06518 | 2008-10-29 |
| 1811160526 | Barbara L. Stark | Marriage & Family Therapist | 3074 Whitney Ave, Bldg # 1, Hamden, CT 06518-2391 | 2008-04-02 |
| 1346432101 | Rosemary Macniven | Social Worker | 3074 Whitney Ave, Building #2 - Second Floor, Hamden, CT 06518-2391 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020345 | Alisha Argo | Counselor | 2911 Dixwell Ave Ste 202, Hamden, CT 06518-3195 | 2020-07-22 |
| 1083172977 | Joseph Michael Ryan | Counselor | 8 Ingram St, Hamden, CT 06517-1834 | 2019-03-09 |
| 1750877924 | Christopher Robert Carlino | Counselor | 2911 Dixwell Ave # 307b, Hamden, CT 06518-3195 | 2018-07-10 |
| 1902308604 | Holistic Behavioral Health, LLC | Counselor | 81 Gilbert Ave, Hamden, CT 06514-3352 | 2018-03-08 |
| 1831629591 | Ronnie Dion Chance | Counselor | 2405 Whitney Ave Apt 706, Hamden, CT 06518-3221 | 2017-06-15 |
| 1629446976 | Ebun Aderibole | Counselor | 823 Pine Rock Ave, Hamden, CT 06514 | 2015-09-03 |
| 1528452232 | K-assist LLC | Counselor | 196 Magee Dr, Hamden, CT 06514-1340 | 2015-03-20 |
| 1922497064 | Jennifer Didonato | Counselor | 3000 Whitney Ave Ste 256, Hamden, CT 06518-2353 | 2015-01-13 |
| 1568780963 | Raul A Avila | Counselor | 60 Connolly Pkwy Bldg 2b Suite 1-109, Alternative Therapy, LLC, Hamden, CT 06514-2593 | 2010-05-10 |
| 1770814949 | Donald Joseph Paglia | Counselor | 412 Ridge Rd, Hamden, CT 06517-2941 | 2010-01-27 |
| Find all providers in HAMDEN | ||||
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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.