Andrea Jill Bergman
Cognitive & Behavioral Psychologist
15211 Union Tpke. Center For Psychological Services
Flushing
, New York 11367
Andrea Jill Bergman
Cognitive & Behavioral Psychologist
15211 Union Tpke. Center For Psychological Services
Flushing
, New York 11367
(718) 990-1550
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Andrea Jill Bergman
- 8000 Utopia Pkwy Saint John's University
- Jamaica, NY
- Zip : 11439
- Phone : (718) 990-1550
Second Address
- Andrea Jill Bergman
- 15211 Union Tpke. Center For Psychological Services
- Flushing, NY
- Zip : 11367
- Phone : (718) 990-1550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 010356-1 | NY |
National Provider Identifier
| NPI | 1184864357 |
|---|---|
| Provider Name | Andrea Jill Bergman |
| First Address | Jamaica, NY 11439 |
| Second Address | Flushing, NY 11367 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.