Jane Ann Bergey, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007834 Issued in MI

Practice address

301 S Crapo St
Suite 300
Mt Pleasant, MI 48858-2941

Phone

(989) 772-5938

Fax

(989) 775-7701

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689764516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 E RIVER RD",
            "address_2": "P.O. BOX 1411",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589041",
            "telephone_number": "989-773-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "address_2": "SUITE 300",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5938",
            "fax_number": "989-775-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEY",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Elizabeth Bennett, CPM
• Larry Michael Bennett, MD
• Paul Bennett, LLC
• Chelsea Sue Bentley
• Kendree Rayen Berg, LMSW
• Teresa Bergey, LPN
• Ashley Nicole Bergman
• Kenneth Walter Beroza, MD
• Christine Louise Berry, LMSW
• Emma Bess

• Clinical Psychologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Psychologist in Michigan

• 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.

Verify at the official NPI Registry.