Active NPI
Marilyn Bergman & Judith Shechter, PTR
- Clinical Neuropsychologist
- Wynnewood, PA
National Provider Identifier
1194870535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197408 | Other | PA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI 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.