Mr. John Michael Bergman
Cognitive & Behavioral Psychologist
9 N 4th Ave
Marshalltown
, Iowa 50158-1836
Mr. John Michael Bergman
Cognitive & Behavioral Psychologist
9 N 4th Ave
Marshalltown
, Iowa 50158-1836
(641) 752-9665
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Mr. John Michael Bergman
- 9 N 4th Ave
- Marshalltown, IA
- Zip : 50158-1836
- Fax : (641) 752-9665
- Phone : (641) 752-1585
Second Address
- Mr. John Michael Bergman
- 9 N 4th Ave
- Marshalltown, IA
- Zip : 50158-1836
- Fax : (641) 752-9665
- Phone : (641) 752-1585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 00505 | IA |
National Provider Identifier
| NPI | 1215901202 |
|---|---|
| Provider Name | Mr. John Michael Bergman |
| First Address | Marshalltown, IA 50158-1836 |
| Second Address | Marshalltown, IA 50158-1836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 10/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0058230 | (05) | IA |
| 037087 | HEALTH ALLIANCE (01) | IA |
| 05823 | BCBS (01) | IA |
| 05823 | MEDICARE (01) | IA |
| 234211 | MIDLANDS CHOICE (01) | IA |
| IA0101 | JOHN DEERE/UBH (01) | IA |
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.