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KATHLEEN BERGESON, PHD P C
NPI 1164634200
Psychologist - Clinical in Lewisburg, PA

Active since May 03, 2007
11 REITZ BLVD, SUITE 101, LEWISBURG, PA 17837(570) 524-0881(570) 524-9738 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Bergeson, Phd P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BERGESON, PHD P C (NPI 1164634200) is a healthcare organization registered as a clinical in Lewisburg, Pennsylvania and active in the NPI registry since May 2007. The organization lists Kathleen Bergeson, President, as its authorized official.

NPPES Registry Identity

NPI1164634200
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKATHLEEN BERGESON, PHD P C
Location Address11 REITZ BLVD, SUITE 101Lewisburg, PA 17837-9293
Mailing Address11 Reitz Blvd, Suite 101Lewisburg, PA 17837-9293 · (570) 524-0881 · Fax (570) 524-9738
Phone(570) 524-0881
Fax(570) 524-9738
Organization SubpartNo
Authorized OfficialKathleen BergesonPresident · (570) 524-0881
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 10, 2007
✔ NPI 1164634200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS015237
Definition
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.
11 REITZ BLVD, Lewisburg, PA 17837
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Other Identifiers 2

Medicare ID-Type Unspecified055893PA
Medicare UPINR976090PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHLEEN RAE BERGESON PHD
Clinical Neuropsychologist
11 REITZ BLVD
LEWISBURG, PA 17837
Union County (570) 524-0881
MS. CHERYL A. HOOVER LCSW, BCD
Social Worker (Clinical)
11 REITZ BLVD, SUITE 101
LEWISBURG, PA 17837
Union County (570) 524-0881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Bergeson, Phd P C's NPI number?

The NPI number for Kathleen Bergeson, Phd P C is 1164634200. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Kathleen Bergeson, Phd P C located?

Kathleen Bergeson, Phd P C is located at 11 Reitz Blvd Suite 101, Lewisburg, PA 17837. The listed phone number is (570) 524-0881.

What is Kathleen Bergeson, Phd P C's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kathleen Bergeson, Phd P C was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.