Shoshana Dachs Bergman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S10070600 Issued in NJ

Practice address

354 N Woodland St
Englewood, NJ 07631-2027

Phone

(917) 723-1498

NPI assigned

Oct 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Shoshana Dachs Professional name

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1528935368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 N WOODLAND ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312027",
            "telephone_number": "917-723-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N WOODLAND ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312027",
            "telephone_number": "917-723-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "SHOSHANA",
        "middle_name": "DACHS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "07019",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S10070600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHANA",
            "last_name": "DACHS",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bergen Stretch LLC (Get Stretched)
• Bergen Thoracic and Vascular Associates P.C.
• Bergen's Best Acupuncture PC
• Austin Noah Berger, MD
• Lavada Robin Berger
• Pauline Dorothy Bergstein, PH.D.
• Samarth Beri, M.D.
• Leonora Berisha, CRNA
• Nicole Berk, OTR/L
• Sarah Berliner, BCBA

• Clinical Psychologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.