DR. RICHARD A. BERGMAN PH.D.
NPI 1366518037
Psychologist in Wyndmoor, PA

Active since November 27, 2006Opted out of Medicare · through Jan 1, 2028
620 E WILLOW GROVE AVE, WYNDMOOR, PA 19038(215) 233-4350(215) 233-4404 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard A. Bergman Ph.d. NPPES

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

DR. RICHARD A. BERGMAN PH.D. (NPI 1366518037) is an individual psychologist in Wyndmoor, Pennsylvania, licensed in Pennsylvania (PS-003590-L) and active in the NPI registry since November 2006. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1366518037
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RICHARD A. BERGMANCredential: PH.D.
Location Address620 E WILLOW GROVE AVEWyndmoor, PA 19038-7949
Mailing Address620 E Willow Grove AveWyndmoor, PA 19038-7949 · (215) 233-4350 · Fax (215) 233-4404
Fax(215) 233-4404
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366518037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS-003590-L
Definition
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.
620 E WILLOW GROVE AVE, Wyndmoor, PA 19038

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Richard A. Bergman Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist
620 E WILLOW GROVE AVE
WYNDMOOR, PA 19038

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 Richard Bergman's NPI number?

The NPI number for Richard Bergman is 1366518037. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Richard Bergman located?

Richard Bergman practices at 620 E Willow Grove Ave, Wyndmoor, PA 19038. The listed phone number is (215) 233-4350.

What is Richard Bergman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Richard Bergman enrolled in Medicare?

No. Richard Bergman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Richard Bergman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.