MS. DEBRA B BERGERSON


Address: 104 E 40th St, Suite 406, New York, NY 10016-1801
Phone: 2125994740

MS. DEBRA B BERGERSON (NPI# 1104020981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104020981
Entity Type Individual
Full Name MS. DEBRA B BERGERSON
Credential LCSW
Practice Address 104 E 40th St
Suite 406
New York
NY 10016-1801
Practice Telephone 2125994740
Mailing Telephone 2125994740
Enumeration Date 2007-06-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
R041633-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 104 E 40TH ST
SUITE 406
City NEW YORK
State NY
Zip Code 10016-1801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023001328 Barbara Judith Petratos Psychologist 104 E 40th St, Ste 804, New York, NY 10016 2005-08-23
1043523178 Helene Morse Psychologist 104 E 40th St, Suite 602, New York, NY 10016-1801 2010-07-18
1669700720 Luis Manzo Psychologist 104 E 40th St, Suite 406, New York, NY 10016-1801 2009-12-01
1831379452 Janet Ann Johnson Social Worker 104 E 40th St, Suite 406, New York, NY 10016-1801 2007-11-12
1619175007 Christine Megan Psychologist 104 E 40th St, Suite 206, New York, NY 10016-1801 2007-07-06
1255538310 Carmen Olivieri-olenick Social Worker 104 E 40th St, 406, New York, NY 10016-1801 2007-06-29
1659580785 Manhattan Psychological Services Psychologist 104 E 40th St, Suite 906, New York, NY 10016-1801 2007-05-22
1811105802 Carmen Inoa Vazquez Psychologist 104 E 40th St, Suite 406, New York, NY 10016-1801 2007-05-21
1891817250 Ellen Beth Schnier Social Worker 104 E 40th St, Suite 406, New York, NY 10016-1801 2007-04-05
1164549267 Carol D Lewis Psychologist 104 E 40th St, Suite 206, New York, NY 10016-1801 2007-03-23
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

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.

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