Jennifer Uhl-Bergman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00090300 Issued in NJ

Practice address

17 Cherry St
Mount Holly, NJ 08060-1834

Phone

(609) 923-9519

NPI assigned

Sep 23, 2016

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

Other names 1

• Mrs. Jennifer Anne Bergman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1851840482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHERRY ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601834",
            "telephone_number": "609-923-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CHERRY ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601834",
            "telephone_number": "609-923-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHL-BERGMAN",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00090300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERGMAN",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew Tozzi, MA, LAC
• Michael Anthony Tulish, PHARM.D.
• Craig Steven Turner, D.O.
• Twin Oaks Community Center
• Twin Oaks Community Services
• Xavier Umali
• Union Association of the Children'S Home of Burlington County
• Union Association of the Children'S Home of Burlington County
• Union Association of the Children'S Home of Burlington County
• Union Association of the Children'S Home of Burlington County

• All providers in Mount Holly, NJ
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.