TAMMY LEE BERGEN (NPI# 1265907943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265907943 |
| Entity Type | Individual |
| Full Name | TAMMY LEE BERGEN |
| Practice Address |
22 Us Oval Ste 100 Plattsburgh NY 12903-5901 |
| Practice Telephone | 5185781442 |
| Mailing Telephone | 5185781442 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
P13611 | NY | Behavioral Health & Social Service Providers |
| Street Address |
22 US OVAL STE 100 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12903-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205936820 | Siobhan Mairead Kiernan | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2006-09-24 |
| 1851904627 | Katelyn Therrian | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2020-08-31 |
| 1578177325 | Emily Marie Adams | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2020-08-31 |
| 1629681911 | Alexander William Fleming | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2020-08-26 |
| 1124631486 | Courtney Baker | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2020-08-26 |
| 1134738537 | Brianna Beller | Counselor | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2020-07-31 |
| 1710523477 | Inga Karpenko | Counselor | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2019-11-18 |
| 1538703327 | Yvonne Garcia | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2019-11-05 |
| 1356983720 | Arlis Garcia | Counselor | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2019-10-17 |
| 1952952244 | Rachel Abrahamsen | Counselor | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395426 | Jacklyn Dwyer | Social Worker | 22 Oval, Suite 100, Plattsburgh, NY 12903 | 2020-04-22 |
| 1316456130 | Jenna Cassandra Seymour | Counselor | 22 Us Oval Suite 100, Plattsburgh, NY 12903 | 2017-09-25 |
| 1649726894 | Tammy Braun | Counselor | 22 Us Oval Suite 218, Plattsburgh, NY 12903 | 2016-08-28 |
| 1205382439 | Tanasia Betts | Counselor | Behavioral Health Services North, 22 Us Oval, Suite 100, Plattsburgh, NY 12903 | 2016-08-28 |
| 1689061012 | Lori Brandmeier | Licensed Practical Nurse | 22 Oval Suite 218, Plattsburgh, NY 12903 | 2015-04-23 |
| 1881141455 | Madeline Hope | Counselor | 22 Us Oval, Suite 100, Plattsburgh, NY 12903 | 2016-09-01 |
| 1114909553 | Elizabeth Louise Yokum | Social Worker | 22 Us Oval, #212, Plattsburgh, NY 12903 | 2005-11-18 |
| 1013354539 | L Woerner Inc | Home Health | 176 Us Oval Ste 3, Plattsburgh, NY 12903-3900 | 2013-05-23 |
| 1215104153 | Champlain Valley Audiology, Pllc | Audiologist-Hearing Aid Fitter | 176 Us Oval, Suite 3, Plattsburgh, NY 12903-3900 | 2008-05-09 |
| 1528076254 | Jacqueline S Oertel | Social Worker | 174 Us Oval, Plattsburgh, NY 12903-3900 | 2006-08-05 |
| Find all providers in zip 12903 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
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| 1518579705 | Miguel H Jorge | Counselor | 303 125th St, College Point, NY 11356-1227 | 2020-08-19 |
| 1629686282 | Sharon Klein Lcsw PC | Counselor | 2158 Willow St, Wantagh, NY 11793-4223 | 2020-07-20 |
| 1588296438 | Viviana Marcel Ruiz | Counselor | 25851 Keyser Rd, Evans Mills, NY 13637-3133 | 2020-02-09 |
| 1912538802 | Mary Cordelia Myers | Counselor | 946 Oregon Trl, Pine Bush, NY 12566-5325 | 2020-01-29 |
| 1639725260 | Thomas A Shaw | Counselor | 482 Main St Ste B, Franklin, NY 13775-7709 | 2019-08-09 |
| 1396399515 | Percy J. Jimenez | Counselor | 23 Beekman St, Staten Island, NY 10302-2006 | 2019-07-25 |
| 1316417298 | Sharon Gaines | Counselor | 45 Etville Ave, Yonkers, NY 10703-1104 | 2018-12-04 |
| 1447745062 | Richard M. Lawless | Counselor | 860 Montauk Highway, Building 1, Water Mill, NY 11976 | 2018-06-26 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1598273492 | Titilayo C Akindayomi-adewale | Counselor | 10 Lockwood Ave, New Rochelle, NY 10801-5001 | 2018-01-14 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12903 |
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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.