Felicia Marie Bergman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7008 Issued in OH

Practice address

5851 Pearl Rd
#305
Parma Heights, OH 44130-2113

Phone

(440) 845-9011

Fax

(440) 845-9013

NPI assigned

Apr 4, 2013

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

Other identifiers 3

Other names 1

• Felicia Marie Acton Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

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.

• Horizons Counseling Services, Inc.

  • Clinical Psychologist
  • Parma Heights, OH
  • NPI 1770519092
  Medicare reassignment NPD

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1710220157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD",
            "address_2": "SUITE 305",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302113",
            "telephone_number": "440-845-9011",
            "fax_number": "440-845-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD",
            "address_2": "#305",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302113",
            "telephone_number": "440-845-9011",
            "fax_number": "440-845-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "FELICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000812656",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084889",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H186570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "ACTON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Robert Beckman, DDS
• Mena Bedir, D.D.S
• Jennifer Christina Benjamin, MD, MRCPCH
• Nancy M Benson, CPNP
• Allison Marie Berg, PT
• David L Berne, D.D.S.
• Michele Marie Berry
• Bes of Ohio, LLC, Dba Medgroup
• Best Quality Home Care Agency LLC
• Best Quality Home Health LLC

• Clinical Psychologist in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.