Brandon Bergman, PHD, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BRANDON BERGMAN, PHD, LLC

Practice address

1180 Beacon St Ste 4B
Brookline, MA 02446-3806

Phone

(978) 558-0644

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Bergman, PHD

Title

Licensed Psychologist

Phone

(978) 558-0644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1245701580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BEACON ST APT 902",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 4B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "978-558-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Merrimac St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021144714",
            "country_code": "US",
            "telephone_number": "978-558-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANDON BERGMAN, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "978-558-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Bozzuto, M.A., SLP
• Brach Evaluation and Consulting, LLC
• Theodore Bradford, LICSW
• Megan Bradshaw, MS
• Jeffery Brand, PSY.D.
• Brandon Eash, DMD, PLLC
• Nadia Therese Brandon, LICSW, LPN
• Darcy Lauren Brandt, LICSW
• Laurie M Brandt, PSY.D.
• Ashley Branum, MSW

• Psychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.