Active NPI
Brett Boeh Bergmann LLC
- Clinical Psychologist
- La Mesa, CA
National Provider Identifier
1679448922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BRETT BOEH BERGMANN LLC
- Practice address
- 4730 Palm Ave Ste 206B
La Mesa, CA 91941-5244 - Phone
- (619) 900-4441
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Ashley Boeh Bergmann, PHD
- Title
- Member
- Phone
- (858) 740-7390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
4730 Palm Ave Ste 206B
La Mesa, CA 91941-5244
Mailing address
2108 N St Ste N
Sacramento, CA 95816-5712
Phone (619) 900-4441
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- La Mesa, CA
- NPI 1750183323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1679448922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST STE N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "619-900-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 PALM AVE STE 206B",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415244",
"telephone_number": "619-900-4441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRETT BOEH BERGMANN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "BERGMANN",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "ASHLEY BOEH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "858-740-7390",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
- Sherry Lee Braheny, M.D.
- Kathryn Branan, BS, PHARMD
- Thomas J Brannigan, MD
- Thomas Kerwin Brassington, D.D.S.
- Chelsea Marie Rouleau Brauns, NP-C
- Brett Partridge Professional Medical Corporation
- Amber Lucille Brewster, MD
- Brian Haymore DDS LLC
- Brian P. Miller Medical Doctor Inc.
- Brian P. Miller, M.D., a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.