DR. JENNIFER LYNN BERGMANN PSY.D.
NPI 1548573645
Psychologist - Clinical in San Francisco, CA

NPI Status: Active since July 17, 2010

Contact Information

4155 CESAR CHAVEZ ST
#6
SAN FRANCISCO, CA
ZIP 94131
Phone: (214) 629-5906

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  • Individual
  • Female
  • Psychologist
  • Clinical

About JENNIFER BERGMANN

This page provides the complete NPI Profile along with additional information for Jennifer Bergmann, a provider established in San Francisco, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1548573645 assigned on July 2010. The practitioner's primary taxonomy code is 103TC0700X with license number 022176 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1548573645
Provider Name
DR. JENNIFER LYNN BERGMANN PSY.D.
Other Name
DR. JENNIFER LYNN COUGHLIN PSYD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4155 CESAR CHAVEZ ST #6 SAN FRANCISCO, CA 94131
Location Phone
(214) 629-5906
Mailing Address
1 CHARCOAL RD NORWALK, CT 06854
Mailing Phone
(214) 629-5906
Is Sole Proprietor?
No
Enumeration Date
07-17-2010
Last Update Date
07-08-2019
Code Navigator

A clinical psychologist like Jennifer Bergmann assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 950 Campbell Ave
    West Haven, CT 06516
    (475) 439-3333

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
022176
License State
NY
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548573645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588107668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 0 + 7 + 6 + 6 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1548573645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548573645, enumerated in the NPI registry as an "individual" on July 17, 2010

The provider is located at 4155 Cesar Chavez St #6 San Francisco, Ca 94131 and the phone number is (214) 629-5906

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on July 17, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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