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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KATHLEEN RAE BERGESON PHD
NPI 1427055995
Clinical Neuropsychologist in Lewisburg, PA

Active since June 30, 2005
11 REITZ BLVD, LEWISBURG, PA 17837(570) 524-0881(570) 524-9738 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Kathleen Rae Bergeson Phd NPPES

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

DR. KATHLEEN RAE BERGESON PHD (NPI 1427055995) is an individual clinical neuropsychologist in Lewisburg, Pennsylvania, licensed in New York (012260) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1427055995
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. KATHLEEN RAE BERGESONCredential: PHD
Location Address11 REITZ BLVDLewisburg, PA 17837-9293
Mailing Address11 Reitz BlvdLewisburg, PA 17837-9293 · (570) 524-0881 · Fax (570) 524-9738
Phone(570) 524-0881
Fax(570) 524-9738
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1427055995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 012260
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS015237 (PA)
11 REITZ BLVD, Lewisburg, PA 17837
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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.

KATHLEEN BERGESON, PHD P C
Psychologist (Clinical)
11 REITZ BLVD, SUITE 101
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's NPI number?

The NPI number for Kathleen Bergeson is 1427055995. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Kathleen Bergeson located?

Kathleen Bergeson practices at 11 Reitz Blvd, Lewisburg, PA 17837. The listed phone number is (570) 524-0881.

What is Kathleen Bergeson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Bergeson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.