Mark D Bjerke, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2294-057 Issued in WI

Practice address

826 S Hastings Way
Eau Claire, WI 54701-3426

Phone

(715) 834-3171

Fax

(715) 834-3174

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nystrom and Associates Counseling Wi SCGroup PAC ID 1052729464, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Nystrom & Associates Counseling Wi., S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
  • NPI 1659977866
  Medicare reassignment Care Compare group NPD
• Synergy Group of Eau Claire SC Dba Heinz Psychological Services

  • Addiction (Substance Use Disorder) Counselor
  • Eau Claire, WI
  • NPI 1528326675
  NPD (past) Authorized official
• Heinz Psychological Services LTD SC

  • Counseling Psychologist
  • Eau Claire, WI
  • NPI 1679671887
  NPD
• Nystrom & Associates Counseling Wi., S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
  • NPI 1104549047
  NPD
• County of Pierce

  • Community/Behavioral Health Agency
  • Ellsworth, WI
  • NPI 1376618157
  NPD (past)
• County of Pierce

  • Community/Behavioral Health Agency
  • Ellsworth, WI
  • NPI 1851465546
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659462091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013426",
            "telephone_number": "715-834-3171",
            "fax_number": "715-834-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013426",
            "telephone_number": "715-834-3171",
            "fax_number": "715-834-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJERKE",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "2294-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39132300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Bischel, AGPC-NP
• Ann L Bischel, NP
• Gwen Lee Bischoff, RN
• Tricia Lynn Bishop, LMFT-IT
• Karlee Bitney
• Brent Bjorklund, MD
• Curtis F Black, DC
• Kelsi Black
• Andrew Thomas Blanchette, CRNA
• Rebecca Blanchette, PT

• Clinical Neuropsychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Neuropsychologist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.