JOEL BERGMAN


Address: 3107 N 50th St, Tampa, FL 33619-2302
Phone: 8133672317

JOEL BERGMAN (NPI# 1689943482) 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) 1689943482
Entity Type Individual
Full Name JOEL BERGMAN
Practice Address 3107 N 50th St
Tampa
FL 33619-2302
Mailing Address 4612 N 56th St
Tampa
FL 33610-7123
Practice Telephone 8133672317
Practice Fax Number 8133672312
Mailing Telephone 8133672317
Mailing Fax Number 8133672312
Enumeration Date 2011-12-22
Last Update Date 2011-12-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
MH9474 FL Behavioral Health & Social Service Providers

Office Location

Street Address 3107 N 50TH ST
City TAMPA
State FL
Zip Code 33619-2302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114256070 Dale Mcnitt Social Worker 3107 N 50th St, Tampa, FL 33619-2302 2009-12-23
1225528136 D'mario Henry Counselor 3107 N 50th St, Tampa, FL 33619-2302 2018-05-16
1508234089 Barbara Lash Counselor 3107 N 50th St, Tampa, FL 33619-2302 2015-09-14
1073883534 Agency for Community Treatment Services Voluntary or Charitable 3107 N 50th St, Tampa, FL 33619-2302 2011-12-30
1407125735 Dale Mcnitt Voluntary or Charitable 3107 N 50th St, Tampa, FL 33619-2302 2011-12-15

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558918771 Advanced Mental Health Services, LLC Counselor 2001 W. Busch Blvd., Ste B, Tampa, FL 33612-7517 2019-08-22
1659851772 Heather Widmer Counselor 202 N Howard Ave, Tampa, FL 33606 2018-08-17
1689162612 Jake Morris Counselor 4003 W Morrison Ave, Tampa, FL 33629 2018-04-25
1578065025 Linda Mcclain Counselor 7207 North Nebraska Avenue, Tampa, FL 33604 2018-03-01
1396250809 Cheryl Zepp Counselor 7225 N Nebraska Ave, Tampa, FL 33604-4916 2017-12-06
1851811178 Rosa Ramirez-tineo Counselor 7207 N Nebraska Avenue, Tampa, FL 33604 2017-06-27
1326590514 Crystal Monique Cash Counselor 800 E Twiggs St, Room 605, Tampa, FL 33602-3500 2016-11-04
1376995183 Rosalia Marteli Counselor 2915 W Walnut St, Tampa, FL 33607-3205 2016-07-05
1740688357 Bianca Arpaia Counselor 5501 W Waters Ave Ste 404&406, Tampa, FL 33634-1229 2014-12-12
1669875746 Janet Leigh Knight Counselor 14495 University Cove Place, Tampa, FL 33613 2014-10-02
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Competitor

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City TAMPA
Zip Code 33619

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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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