ALIX BERGSTROM (NPI# 1790220754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790220754 |
Entity Type | Individual |
Full Name | ALIX BERGSTROM |
Credential | MA |
Practice Address |
2400 White Ave Nashville TN 37204-2235 |
Mailing Address |
2828 Old Hickory Blvd Apt. 3203 Nashville TN 37221-3719 |
Practice Telephone | 6154604200 |
Mailing Telephone | 6158668388 |
Enumeration Date | 2016-12-30 |
Last Update Date | 2016-12-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
Street Address |
2400 WHITE AVE |
City | NASHVILLE |
State | TN |
Zip Code | 37204-2235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114055514 | Elizabeth Ellen Hail | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2007-02-28 |
1083225536 | Mehak Kapoor | Student in an Organized Health Care Education/Training Program | 2400 White Ave, Nashville, TN 37204-2235 | 2020-08-10 |
1710596457 | Ashley Lewis | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2020-07-29 |
1528676012 | Melissa Alvarez-zabriskie | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2020-07-21 |
1174151302 | Stephanie Dean, Lmsw | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2020-04-01 |
1093341646 | Candace Stinnett Grahl | Counselor | 2400 White Ave, Nashville, TN 37204-2235 | 2020-03-16 |
1285260711 | Brandon Khanna | Counselor | 2400 White Ave, Nashville, TN 37204-2235 | 2020-03-16 |
1174157374 | Murelene Monie-owens | Counselor | 2400 White Ave, Nashville, TN 37204-2235 | 2020-02-26 |
1316570146 | Laurence Lopez Lopez | Marriage & Family Therapist | 2400 White Ave, Nashville, TN 37204-2235 | 2020-02-20 |
1649801705 | Brandy Michelle Walker | Counselor | 2400 White Ave, Nashville, TN 37204-2235 | 2020-01-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
Find all providers in zip 37204 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891023826 | Rebecca Ann Temple | Psychologist | 1100 18th Ave S, Nashville, TN 37212-2107 | 2009-12-02 |
1477788735 | Steven Thomas Olivas | Psychologist | 179 Belle Forest Cir, Suite 302, Nashville, TN 37221-2111 | 2009-05-15 |
1124266721 | Parrish Lynn Paul | Psychologist | 30 Music Sq W Ste 310, Nashville, TN 37203-6603 | 2009-02-04 |
1174799134 | Ryan Evans Gillespie | Psychologist | 110 21st Ave South, 1120 Baker Building, Nashville, TN 37203 | 2008-04-30 |
1891919056 | Cassandra Ardoin | Psychologist | 133 Bowling Ave, B, Nashville, TN 37205-2368 | 2007-04-12 |
1841361425 | Margaret M Smith | Psychologist | 700 Vosswood Dr, Nashville, TN 37205-3114 | 2006-11-13 |
1760562896 | Amin Azimi | Psychologist | 345 24th Ave N Ste 200, Nashville, TN 37203-1520 | 2006-10-16 |
1902996838 | Anita L Hauenstein | Psychologist | 4525 Harding Pike Ste 200, Nashville, TN 37205-2154 | 2006-10-13 |
1245862036 | Amy Fowler | Psychologist | 4235 Hillsboro Pike Ste 300, Nashville, TN 37215-3344 | 2020-02-10 |
1063058261 | Natali Efstathiou Lp LLC | Psychologist | 3200 W End Ave Ste 500, Nashville, TN 37203-1322 | 2019-11-22 |
Find all providers in NASHVILLE |
Please comment or provide details below to improve the information on ALIX BERGSTROM.
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.