Virginia Bergquist

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

160039780 Issued in CA

Practice address

9 Stillwater
Irvine, CA 92603-3426

Phone

(760) 574-2666

NPI assigned

Sep 18, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1346890597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 STILLWATER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033426",
            "telephone_number": "760-574-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 STILLWATER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033426",
            "telephone_number": "760-574-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "160039780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Irvine",
            "affiliation": "N",
            "endpointDescription": "Presence Learning",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Stillwater",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926033426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenna Bergelin
• Staci Bergeron, RDH
• Lisa Lamoreaux Bergfeld, LMFT
• Terese Stavenjord Bergheim, M.D.
• Chris Berglund
• Lawrence Berman
• Niva Berman, LCSW
• Elvia Emilia Bernal
• Nairi Asadoorian Berner, M.D.
• Bernie Click

• School Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.