Active NPI
Anne Christine Bjerg, PHD
- Clinical Psychologist
- Somerville, MA
National Provider Identifier
1871814038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10373
- Practice address
- 269 Washington St
Somerville, MA 02143-3301 - Phone
- (617) 547-2255
- Fax
- (617) 547-0003
- NPI assigned
- Jun 22, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10373 | MA | Primary |
Addresses
Primary practice location
269 Washington St
Somerville, MA 02143-3301
Mailing address
269 Washington St
Somerville, MA 02143-3301
Phone (617) 547-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10373 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1871814038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 WASHINGTON ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433301",
"telephone_number": "617-547-2255",
"fax_number": "617-547-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 WASHINGTON ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433301",
"telephone_number": "617-547-2255",
"fax_number": "617-547-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJERG",
"first_name": "ANNE",
"middle_name": "CHRISTINE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.