Trecy Bergen

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1008144 Issued in TX

Practice address

612 W 22ND St
Austin, TX 78705-5104

Phone

(512) 270-9084

Fax

(682) 651-1468

NPI assigned

Sep 16, 2020

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Psych NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1063281038
  NPD Authorized official
• Austin Family Mental Health, PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1538246954
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1134735079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FERNWOOD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221028",
            "telephone_number": "828-482-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 22ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055104",
            "telephone_number": "512-270-9084",
            "fax_number": "682-651-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "TRECY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1008144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berg En Dal PLLC (Jansen Optical)
• Jenna Berg
• Julia B Berg, LPC-A
• Kathleen Theresa Berg, MD
• Lloyd Stuart Berg, PHD
• Benjamin L Berger, OT
• Brian B Berger, MD
• Gloria Gorman Berger, RD, LDN
• Jonathan Berger, LPC
• Michelle A Berger, MD

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.