Pamela Bergen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6426 E McDowell Rd
Mesa, AZ 85215-9738

Phone

(414) 412-9611

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1730898545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E HAMPTON AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045725",
            "telephone_number": "414-412-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 E MCDOWELL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852159738",
            "telephone_number": "414-412-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S 7th Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850074075",
            "country_code": "US",
            "telephone_number": "602-416-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bercel, DPT
• Beatrix Berecz
• Ashley Berg, LMSW
• Nadine A Berg
• Richard Berg
• Heather Lynn Berger, LPC
• Kaitlin Victoria Berger, PHARMD
• Steven Berger, DMD
• Sydney Jill Berger, PA-C
• Gabrielle Bergeron, DO

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.