JENNIFER A BERG (NPI# 1255628780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255628780 |
| Entity Type | Individual |
| Full Name | JENNIFER A BERG |
| Credential | PSYD |
| Practice Address |
30011 Ivy Glenn Dr Ste 206 Laguna Niguel CA 92677-5017 |
| Mailing Address |
33615 Avenida Capri Dana Point CA 92629-1616 |
| Practice Telephone | 9493717070 |
| Mailing Telephone | 9492909077 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30317 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17782 Cowan Ste A, Irvine, CA 92614 | 9497227118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066692 | Jennifer L Berg | Student in an Organized Health Care Education/Training Program | 31 Poppy St, Casper, WY 82604-3813 | 2018-03-15 |
| 1851894398 | Jennifer Marie Berg | Occupational Therapy Assistant | 9821 County Road L, Delta, OH 43515-9773 | 2018-03-12 |
| 1093223372 | Jennifer Berg | Early Intervention Provider Agency | 137 S 17th St Apt B, St Charles, IL 60174-2547 | 2018-01-20 |
| 1669530622 | Jennifer Berg | Psychologist | 10801 El Camino Real, Atascadero, CA 93422-8867 | 2006-12-04 |
| 1124538772 | Jennifer Ashley Berg | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2017-10-10 |
| 1245656826 | Jennifer Berg | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2014-03-06 |
| 1144579012 | Jennifer Marie Berg | Pharmacist | 1500 Ribaut Rd, Port Royal, SC 29935 | 2012-09-06 |
| 1194001743 | Jennifer Anne Berg | General Acute Care Hospital | 3800 Reservoir Rd, Georgetown University Hospital, Washington, DC 20007 | 2011-10-27 |
| 1285803817 | Jennifer Lynn Berg | Nurse Anesthetist, Certified Registered | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-02-28 |
| 1689899940 | Jennifer Berg | Pharmacist | 1843 Johnson Ave Nw, Cedar Rapids, IA 52405-4752 | 2007-04-13 |
| Street Address |
30011 IVY GLENN DR STE 206 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891776134 | Julia Beth Cohen | Psychologist | 30011 Ivy Glenn Dr, Suite 206, Laguna Niguel, CA 92677-5014 | 2005-11-11 |
| 1356883417 | Triton Senior Care, Inc | Home Health | 30011 Ivy Glenn Dr, Suite 102, Laguna Niguel, CA 92677-5014 | 2016-11-07 |
| 1851845721 | All Care Choices, LLC | Home Health | 30011 Ivy Glenn Dr, Suite 102-b, Laguna Niguel, CA 92677-5014 | 2016-08-09 |
| 1366843385 | Michael F Wood | Marriage & Family Therapist | 30011 Ivy Glenn Dr, Suite 205, Laguna Niguel, CA 92677-5014 | 2014-09-09 |
| 1164714747 | Kimberly Salter | Marriage & Family Therapist | 30011 Ivy Glenn Dr, Laguna Niguel, CA 92677-5014 | 2011-05-13 |
| 1407181316 | Nicole Gerth | Community/Behavioral Health | 30011 Ivy Glenn Dr, Suite 221, Laguna Niguel, CA 92677-5014 | 2009-10-09 |
| 1073770806 | Chris A Hawn | Chiropractor | 30011 Ivy Glenn Dr, Suite 206, Laguna Niguel, CA 92677 | 2008-05-20 |
| 1417124165 | Nancy L. Peterson | Marriage & Family Therapist | 30011 Ivy Glenn Dr, Suite 205, Laguna Niguel, CA 92677-5014 | 2008-05-13 |
| 1609916857 | Aaa Hearing Services, Inc | Hearing Instrument Specialist | 30011 Ivy Glenn Dr, Ste 115, Laguna Niguel, CA 92677-5014 | 2007-02-07 |
| 1194876219 | Paul Daniel Corona | Family Medicine | 30011 Ivy Glenn Dr, Suite 216, Laguna Niguel, CA 92677-5014 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902145584 | Alison Urbank | Psychologist | 18 Bethany, Laguna Niguel, CA 92677-2931 | 2013-02-03 |
| 1184901761 | Santiago Estrada | Psychologist | 30011 Ivy Glenn Dr Ste 220, Laguna Niguel, CA 92677-5018 | 2011-11-09 |
| 1912047036 | Deborah Rangel-friedman | Psychologist | 28652 Jaeger Dr, Laguna Niguel, CA 92677-1320 | 2007-02-07 |
| 1801940689 | Bruce Bower Johnston | Psychologist | 30100 Crown Valley Pkwy, Suite 17, Laguna Niguel, CA 92677-2041 | 2007-01-22 |
| 1891776134 | Julia Beth Cohen | Psychologist | 30011 Ivy Glenn Dr, Suite 206, Laguna Niguel, CA 92677-5014 | 2005-11-11 |
| 1003265547 | Paul Fick | Psychologist | 28281 Crown Valley Pkwy Ste 225, Laguna Niguel, CA 92677-1483 | 2016-06-06 |
| 1275989865 | Ashley Dean Fick | Psychologist | 28281 Crown Valley Pkwy Ste 225, Laguna Niguel, CA 92677-1483 | 2016-05-12 |
| 1538531900 | Kr Psychological Services, Inc | Psychologist | 30101 Town Center Dr, Suite 204, Laguna Niguel, CA 92677-5006 | 2015-10-26 |
| 1366744070 | Rockman Family Counseling | Psychologist | 26041 Cape Dr, #250b, Laguna Niguel, CA 92677-1254 | 2010-12-01 |
| 1811194186 | Barbara A Noyes | Psychologist | 30131 Town Center Dr, Suite 280, Laguna Niguel, CA 92677-2034 | 2007-06-29 |
| Find all providers in LAGUNA NIGUEL | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
Please comment or provide details below to improve the information on JENNIFER A BERG.
| 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.