Andrea Jill Bergman, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

010356-1 Issued in NY

Practice address

15211 Union Tpke.
Center for Psychological Services
Flushing, NY 11367

Phone

(718) 990-1550

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By 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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• St. John's University Center for Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flushing, NY
  • NPI 1235342841
  NPD (past)

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1184864357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 UTOPIA PKWY",
            "address_2": "SAINT JOHN'S UNIVERSITY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11439",
            "telephone_number": "718-990-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 UNION TPKE.",
            "address_2": "CENTER FOR PSYCHOLOGICAL SERVICES",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-990-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ANDREA",
        "middle_name": "JILL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "010356-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Jay Berger, MD
• Rachel Victoria Berger, PHD
• Shaina Rina Berger
• Shoshana E. Berger, MA CCC/SLP
• Adina Bergida
• Zoe Nicole Berke, MPAS, PA-C
• Yevgeniya Berkovski, PA
• Arielle Leah Berkowitz
• Gerald Berkowitz, LCSW
• Ryan Berlin

• Cognitive & Behavioral Psychologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.