MRS. CARIANN M BERGNER-MOORE (NPI# 1003369950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003369950 |
| Entity Type | Individual |
| Full Name | MRS. CARIANN M BERGNER-MOORE |
| Credential | PSYD/PHD |
| Practice Address |
1312 Donaghey Ave Conway AR 72034-3807 |
| Practice Telephone | 5013586606 |
| Mailing Telephone | 5013586606 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
16-13P | AR | Behavioral Health & Social Service Providers |
| Street Address |
1312 DONAGHEY AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275628281 | Ayisha R Miller | Counselor | 1312 Donaghey Ave, Conway, AR 72034-3807 | 2006-10-04 |
| 1528454139 | Conway Counseling & Psychological Services, Pllc | Counselor | 1312 Donaghey Ave, Conway, AR 72034-3807 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295910974 | Kenneth Aldwin Priest | Psychologist | 2323 Washington Ave, Conway, AR 72032-2766 | 2007-12-31 |
| 1851315766 | Charles W Jackson | Psychologist | 210 University Plaza Dr, Conway, SC 29526-8978 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043717440 | Insight Psychological Services Pllc | Psychologist | 4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191 | 2018-04-11 |
| 1457875882 | Glenn Gerald Ryals | Psychologist | 712 W 3rd St Ste 100, Little Rock, AR 72201-2221 | 2017-07-27 |
| 1861925968 | Life Trek, LLC | Psychologist | 21 Sycamore St, Cabot, AR 72023-3714 | 2017-04-05 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1245590702 | Andrew Douglas Reichert | Psychologist | 3214 Nw Avignon Way, # 2, Bentonville, AR 72712-3916 | 2012-05-17 |
| 1477863504 | Michael Dee Cannon | Psychologist | 9629 Highway 270, Pine Bluff, AR 71602-9493 | 2010-10-07 |
| 1669707832 | Charles C Lampton | Psychologist | 2725 Orchard Hill Rd, Siloam Springs, AR 72761-8340 | 2009-10-06 |
| 1174752364 | Teresa D Henderson | Psychologist | 3117 Polk Road 44, Mena, AR 71953-3891 | 2009-07-08 |
| 1407000516 | Hillary Hunt | Psychologist | 305 South Palm, Little Rock, AR 72205 | 2008-11-17 |
| 1437300761 | Rosemary Burns | Psychologist | 806 E 22nd St, Russellville, AR 72802-6937 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. CARIANN M BERGNER-MOORE.
| 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.