DR. DEBRA S. BERGERON (NPI# 1740528660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740528660 |
| Entity Type | Individual |
| Full Name | DR. DEBRA S. BERGERON |
| Credential | PSY.D., LMHC, LCMHC |
| Practice Address |
6 Dixon Ave Concord NH 03301-4944 |
| Practice Telephone | 6038568163 |
| Practice Fax Number | 6038568164 |
| Mailing Telephone | 6038568163 |
| Mailing Fax Number | 6038568164 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
4606 | MA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
521 | NH | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1154 | NH | Behavioral Health & Social Service Providers |
| Street Address |
6 DIXON AVE |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-4944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801112917 | Comprehensive Counseling Connections, Pllc | Counselor | 6 Dixon Ave, Suite 201, Concord, NH 03302-4255 | 2010-04-14 |
| 1497092035 | Lindsay Havlicek-bell | Psychologist | 6 Dixon Ave, Suite 201, Concord, NH 03301-4944 | 2013-01-15 |
| 1689960072 | Sara Eve Krause | Occupational Therapist | 6 Dixon Ave, Concord, NH 03301-4944 | 2011-06-23 |
| 1063703908 | Mary Elizabeth Capuano-yates | Occupational Therapy Assistant | 6 Dixon Ave, Concord, NH 03301-4944 | 2011-04-26 |
| 1548565500 | Alyssa Page | Occupational Therapist | 6 Dixon Ave, Concord, NH 03301-4944 | 2011-01-21 |
| 1336442789 | Nancy Helen Rescino | Physical Therapist | 6 Dixon Ave, Concord, NH 03301-4944 | 2010-12-07 |
| 1366750879 | Donna Marie Peno | Specialist | 6 Dixon Ave, Concord, NH 03301-4944 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1396394359 | Gary S. Rose Ph.d. LLC | Psychologist | 45 Walden St Ste 1, Concord, MA 01742-2513 | 2019-09-11 |
| 1689230872 | Julian Heath | Psychologist | 1001 Grand Summit Blvd Apt 1043, Concord, NC 28027-3732 | 2019-05-14 |
| 1013401595 | Karen Jo Giammusso Shapiro | Psychologist | 59 N Branch Rd, Concord, MA 01742-3807 | 2018-06-19 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| 1053664524 | Elizabeth Lavenson Myers | Psychologist | 1157 Fair Weather Cir, Concord, CA 94518-1939 | 2012-10-22 |
| 1447528633 | Debra Ying Fah Tong | Psychologist | 1868 Clayton Rd Ste 126, Concord, CA 94520-2552 | 2011-12-02 |
| 1013202381 | Lauren J Brown | Psychologist | 81 Commonwealth Ave, Suite 8, Concord, MA 01742-2977 | 2011-06-15 |
| 1518274851 | Allison C Flynn | Psychologist | 281 Monsen Rd, Concord, MA 01742-1941 | 2010-09-08 |
| 1932330073 | Avninder Singh Anand | Psychologist | 1470 Civic Court, Suite 100, Concord, CA 94520 | 2009-08-06 |
| Find all providers in CONCORD | ||||
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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.