IndividualActive
Maja Bergman, PHD
NPI 1003008780 · Clinical Psychologist · New York, NY
Provider details
- NPI number
- 1003008780
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 026159 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
600 W 146th St Apt 52
New York, NY 10031-0708
Phone: (917) 723-0619
Fax: (510) 601-4002
Approximate (ZIP-level) locationGet directions
Mailing address
600 W 146th St Apt 52
New York, NY 10031-0708
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.