Organization Active NPI

Marilyn Bergman & Judith Shechter, PTR

  • Clinical Neuropsychologist
  • Wynnewood, PA
National Provider Identifier
1194870535
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
MARILYN BERGMAN & JUDITH SHECHTER, PTR
Practice address
308 E Lancaster Ave
Suite 200
Wynnewood, PA 19096-2145
Phone
(610) 642-2353
Fax
(610) 642-3278
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Judith Shechter, PH.D
Title
Partner
Phone
(610) 642-2353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

308 E Lancaster Ave
Suite 200
Wynnewood, PA 19096-2145

Mailing address

308 E Lancaster Ave
Suite 200
Wynnewood, PA 19096-2145
Phone (610) 642-2353

Other identifiers 1

IdentifierTypeStateIssuer
197408OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1194870535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962145",
            "telephone_number": "610-642-2353",
            "fax_number": "610-642-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962145",
            "telephone_number": "610-642-2353",
            "fax_number": "610-642-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN BERGMAN & JUDITH SHECHTER, PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "SHECHTER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-642-2353",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "197408",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.