DR. MARY BERGE AND ASSOCIATES, LLC (NPI# 1063783678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063783678 |
| Entity Type | Organization |
| Organization Name | DR. MARY BERGE AND ASSOCIATES, LLC |
| Practice Address |
1765 Goucher St Ste 150 Johnstown PA 15905-1101 |
| Practice Telephone | 8145358586 |
| Practice Fax Number | 8142544170 |
| Mailing Telephone | 8145358586 |
| Mailing Fax Number | 8142544170 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2017-04-30 |
| Authorized Official Name | MR. IVAR BERGE (OFFICE MANAGER) |
| Authorized Official Telephone | 8145358586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 168974 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CBHNP | 0019357340006P | 01 |
| BCBS | 1483294 | 01 | |
| PA | VALUE BEHAVIORAL HEALTH | 562719 | 01 |
| Street Address |
1765 GOUCHER ST STE 150 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982654935 | Mary B Berge | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-05-11 |
| 1356888341 | Timothy J Carnevale | Counselor | 1765 Goucher St, Johnstown, PA 15905-1101 | 2017-01-27 |
| 1801246889 | Sabrina Steele | Contractor | 1765 Goucher St, 150, Johnstown, PA 15905-1101 | 2016-06-21 |
| 1477987451 | Kristin Faust | Counselor | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2013-08-27 |
| 1790078087 | Brad Croyle | Counselor | 1765 Goucher St, Suite 1, Johnstown, PA 15905-1101 | 2011-05-19 |
| 1245535954 | Heather Lynn Hay | Counselor | 1765 Goucher St, Johnstown, PA 15905-1101 | 2011-01-12 |
| 1659548725 | Randall Jay Harris | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2008-05-08 |
| 1720250293 | Kelley Marie Marron | Social Worker | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2008-03-25 |
| 1770505034 | Penny Denise Hoffman | Social Worker | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172777 | Center for Community Resources, Inc. | Community/Behavioral Health | 110 Franklin St Fl 3, Johnstown, PA 15901-1829 | 2019-12-31 |
| 1982108528 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 101 Community College Way, Johnstown, PA 15904-2949 | 2018-03-20 |
| 1689193450 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 413 Power St, Johnstown, PA 15906-2732 | 2017-09-13 |
| 1093234189 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1 Academic Ave, Johnstown, PA 15904-2946 | 2017-09-11 |
| 1326567439 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 675 Goucher St, Johnstown, PA 15905-3247 | 2017-09-11 |
| 1215456306 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 222 Central Ave, Johnstown, PA 15902-2405 | 2017-09-11 |
| 1326566472 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 430 Tioga St, Johnstown, PA 15905-2346 | 2017-09-08 |
| 1871011924 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 600 Harlan Ave, Johnstown, PA 15905-3916 | 2017-09-08 |
| 1073031126 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 2306 Bedford St, Johnstown, PA 15904-1127 | 2017-09-08 |
| 1942728092 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1516 Tire Hill Rd, Johnstown, PA 15905-7822 | 2017-09-08 |
| Find all providers in JOHNSTOWN | ||||
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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.