DR. LAURIE BERGER-JACKSON


Address: 4498 E Phillips Pl, Littleton, CO 80122
Phone: 7203128691

DR. LAURIE BERGER-JACKSON (NPI# 1174561641) 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) 1174561641
Entity Type Individual
Full Name DR. LAURIE BERGER-JACKSON
Other Name LAURIE C BERGER
Credential PHD CLINICAL PSYCHOL
Practice Address 4498 E Phillips Pl
Littleton
CO 80122
Practice Telephone 7203128691
Practice Fax Number 3036941907
Mailing Telephone 7203128691
Mailing Fax Number 3036941907
Enumeration Date 2006-06-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 2931 CO Behavioral Health & Social Service Providers
X 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
582AC CO Behavioral Health & Social Service Providers
X 103TC1900X Psychologist
Specialization: Counseling
2653 CO Behavioral Health & Social Service Providers

Office Location

Street Address 4498 E PHILLIPS PL
City LITTLETON
State CO
Zip Code 80122

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1407184401 Amy Dexter Psychologist 4956 S Prince Ct Apt 304, Littleton, CO 80123-7792 2009-12-02
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1316135072 Rebecca I. Howard Psychologist 609 W. Littleton Blvd, Suite 303, Littleton, CO 80120 2007-10-09
1518017300 Carolyn Imperato Psychologist 537 King St, Littleton, MA 01460 2007-01-12
1891880704 Diane Marie Franciose-webber Psychologist 52 New Estate Rd, Littleton, MA 01460-3023 2006-10-04
1902904733 R Timothy Pollak Psychologist 8326 S Carr St, Suite 102, Littleton, CO 80128-6128 2006-09-20
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City LITTLETON
Zip Code 80122

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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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