DR. JANICE BLAKE BERGMAN PH.D.
NPI 1821172826
Psychologist in Nanuet, NY

NPI Status: Active since October 25, 2006

Contact Information

55 OLD TURNPIKE RD
SUITE 601
NANUET, NY
ZIP 10954
Phone: (845) 627-3413
Fax: (212) 567-9476

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Psychologist
PECOS Enrolled
Opted-Out Medicare

About JANICE BERGMAN

This page provides the complete NPI Profile along with additional information for Janice Bergman, a provider established in Nanuet, New York with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1821172826 assigned on October 2006. The practitioner's primary taxonomy code is 103T00000X with license number 007741 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1821172826
Provider Name: DR. JANICE BLAKE BERGMAN PH.D.
Other Name: DR. JANICE BLAKE DUFFY PH.D.
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 55 OLD TURNPIKE RD SUITE 601 NANUET, NY 10954
Location Phone: (845) 627-3413
Location Fax: (212) 567-9476
Mailing Address: 20 ROSLYN LN NEW CITY, NY 10956
Mailing Phone: (845) 638-4926
Is Sole Proprietor?: Yes
Enumeration Date: 10-25-2006
Last Update Date: 07-08-2007
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A psychologist like Janice Bergman studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Janice Bergman opted out of Medicare effective on 02-05-2018 until 02-05-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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
Taxonomy Code: 103T00000X
Type: Behavioral Health & Social Service Providers
License No.: 007741
License State: NY
Taxonomy Description: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies: