Active NPI
Anne-Marie Bercik, PHD
- Psychologist
- Winter Park, FL
National Provider Identifier
1407873144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY3801
- Practice address
- 2075 Loch Lomond Dr
Maner Care Nursing & Rehabilitation Center
Winter Park, FL 32792 - Phone
- (407) 628-5418
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY3801 | FL | Primary |
Addresses
Primary practice location
2075 Loch Lomond Dr
Maner Care Nursing & Rehabilitation Center
Winter Park, FL 32792
Mailing address
202 Quayside CR
#202
Maitland, FL 32751
Phone (407) 719-3616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Marie Bercik PHD PA | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Maitland, FL
- NPI 1952597023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407873144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 QUAYSIDE CR",
"address_2": "#202",
"city": "MAITLAND",
"state": "FL",
"postal_code": "32751",
"telephone_number": "407-719-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 LOCH LOMOND DR",
"address_2": "MANER CARE NURSING & REHABILITATION CENTER",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-628-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCIK",
"first_name": "ANNE-MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY3801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.