Organization Active NPI

Anne Marie Bercik PHD PA

  • Psychologist
  • Maitland, FL
National Provider Identifier
1952597023
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ANNE MARIE BERCIK PHD PA
Practice address
202 Quayside Cir
#202
Maitland, FL 32751-5771
Phone
(407) 719-3616
NPI assigned
Sep 21, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Anne Marie Bercik, PHDNPI 1407873144
Title
President
Phone
(407) 539-1783

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

202 Quayside Cir
#202
Maitland, FL 32751-5771

Mailing address

202 Quayside Circle
#202
Maitland, FL 32751-5773
Phone (407) 539-1783

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1952597023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 QUAYSIDE CIRCLE",
            "address_2": "#202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515773",
            "telephone_number": "407-539-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 QUAYSIDE CIR",
            "address_2": "#202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515771",
            "telephone_number": "407-719-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE MARIE BERCIK PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BERCIK",
        "authorized_official_first_name": "ANNE MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-539-1783",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.