MS. SUSAN MARIE BERGMAN (NPI# 1609021054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609021054 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARIE BERGMAN |
| Other Name | MS. SUSAN MARIE KNIEBEL |
| Credential | MED., LMHC, NCC |
| Practice Address |
2052 Clement St Honolulu HI 96822-3328 |
| Mailing Address |
Po Box 61442 Honolulu HI 96839-1442 |
| Practice Telephone | 8082567145 |
| Practice Fax Number | 8089464458 |
| Mailing Telephone | 8082567145 |
| Mailing Fax Number | 8089464458 |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
19 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750501672 | Susan Still Bergman | Music Therapist | 8080 Margaret Ann Ave, Baton Rouge, LA 70809-3444 | 2007-04-26 |
| 1669552683 | Susan Biener Bergman | Specialist | 600 Worcester Rd, Suite Ll3, Framingham, MA 01702-5356 | 2006-10-16 |
| Street Address |
2052 CLEMENT ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96822-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
| 1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
| 1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
| 1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
| 1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
| 1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
| Find all providers in zip 96822 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225443 | Angela Nalani Mendiola | Counselor | 1440 Kapiolani Blvd Ste 1200, Honolulu, HI 96814-3608 | 2020-11-03 |
| 1104432582 | Charles Rivera | Counselor | 459 Patterson Rd # Mhs-116, Honolulu, HI 96819-1522 | 2020-09-21 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1295346252 | Ana Malia Kia | Counselor | 2140 10th Ave Apt 303, Honolulu, HI 96816-3044 | 2020-08-13 |
| 1902416498 | Jason Tomoyasu Hew | Counselor | 1305 Lunalilo Home Rd, Honolulu, HI 96825-3215 | 2020-08-09 |
| 1659997435 | Noelani Kealii Kidd | Counselor | 875 Waimanu St Ste 601, Honolulu, HI 96813-5267 | 2020-06-17 |
| 1942821657 | Mary Rowan | Counselor | 1189 Waimanu St Apt 1005, Honolulu, HI 96814-4270 | 2020-05-04 |
| 1912527649 | Robert William Holliday Jr. | Counselor | 411 Hobron Ln Apt 1010, Honolulu, HI 96815-1211 | 2020-04-22 |
| 1114547221 | Flordeliza Maura Alonzo Herring | Counselor | 1314 Piikoi St Apt 203, Honolulu, HI 96814-1140 | 2020-04-17 |
| 1821638511 | Tomi Nohealani Moore | Counselor | 875 Waimanu St Ste 620, Honolulu, HI 96813-5267 | 2020-01-09 |
| Find all providers in HONOLULU | ||||
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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.