NPIMap

Organization Active NPI

Bergmark Consulting, LLC

  • Behavior Analyst
  • Cedar Springs, MI
National Provider Identifier
1770171845
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BERGMARK CONSULTING, LLC
Practice address
421 Pioneer TRL
Cedar Springs, MI 49319-8136
Phone
(773) 791-9906
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Dr. David Bergmark, PHD, BCBA-D, LBANPI 1407274608
Title
Ceo
Phone
(616) 251-8162

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

421 Pioneer TRL
Cedar Springs, MI 49319-8136

Mailing address

421 Pioneer TRL
Cedar Springs, MI 49319-8136
Phone (616) 251-8162

Other identifiers 1

IdentifierTypeStateIssuer
1407274608MedicaidIL

Other names 1

  • Waypoints Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.david@bergmarkconsulting.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1770171845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PIONEER TRL",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198136",
            "telephone_number": "616-251-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PIONEER TRL",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198136",
            "telephone_number": "773-791-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGMARK CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "BERGMARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-251-8162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407274608",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.david@bergmarkconsulting.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "421 Pioneer Trl",
            "city": "Cedar Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493198136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Waypoints",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.