Active NPI
Isabel Katarina Norian, MD
- Psychiatry Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301500985
- Practice address
- 790 Fuller Ave NE
Grand Rapids, MI 49503 - Phone
- (616) 336-3765
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301500985 | MI | Primary |
Addresses
Primary practice location
790 Fuller Ave NE
Grand Rapids, MI 49503
Mailing address
114 W 7TH St Ste 900
Austin, TX 78701-3013
Phone (888) 285-2269
Other practice location 1
111 Colchester Ave
Mail Stop 259PA4
Burlington, VT 05401-1473
Phone (802) 847-2162
Other practice location 2
111 Colchester Ave
Mail Stop 259PA4
Burlington, VT 05401-1473
Phone (802) 847-2162
Other names 1
- Dr. Isabel Katarina Bergman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.network180.x@direct.mihin.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 825-5412
Hospital & facility affiliations
- Spectrum Health
- Mercy Health Saint Mary'S
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent County CMH Authority | Current | Accepting new patients | |
| Kent County CMH Authority | Current | Accepting new patients | |
| The Mental Health Ctr for Southern New Hampshire | Current | Accepting new patients |
Locations
790 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 336-3765
10 Tsienneto Rd
Derry, NH 03038
Phone (603) 434-1577
Organizations & group practices 4
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/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1588935068
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Derry, NH
- NPI 1003914466
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1194617811
-
- Community/Behavioral Health Agency
- Derry, NH
- NPI 1306320999
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1831205863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 W 7TH ST STE 900",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787013013",
"telephone_number": "888-285-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 FULLER AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-336-3765"
}
],
"practiceLocations": [
{
"address_1": "111 Colchester Ave",
"address_2": "Mail Stop 259PA4",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-2162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_2": "Mail Stop 259PA4",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-2162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORIAN",
"first_name": "ISABEL",
"middle_name": "KATARINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301500985",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.network180.x@direct.mihin.net",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "790 Fuller Ave NE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "49503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ISABEL",
"last_name": "BERGMAN",
"middle_name": "KATARINA",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.