Maja Katarina Bergman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

026159 Issued in NY

Practice address

600 W 146TH St Apt 52
New York, NY 10031-0708

Phone

(917) 723-0619

Fax

(510) 601-4002

NPI assigned

Aug 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1003008780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 146TH ST APT 52",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100310708",
            "telephone_number": "917-723-0619",
            "fax_number": "510-601-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 146TH ST APT 52",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100310708",
            "telephone_number": "917-723-0619",
            "fax_number": "510-601-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MAJA",
        "middle_name": "KATARINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Bergman, OTR
• Donald Arthur Bergman, M.D.
• Emma Aisling Bergman, MD
• Geoffrey W Bergman, MD
• Jonah S. Bergman, OD
• Meredith Paige Bergman, M.D.
• Michael Bergman, MD
• Miriam Bergman
• Peter Bergman, LMSW
• Dahlia Bergmann-Dumont, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.