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DR. JON A. BERGERON JR. P.H.D.
NPI 1568422707
Psychologist - Clinical in College Station, TX

Active since March 23, 2006
16741 WOODLAKE DR, COLLEGE STATION, TX 77845(979) 575-5198 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jon A. Bergeron Jr. P.h.d. NPPES

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

DR. JON A. BERGERON JR. P.H.D. (NPI 1568422707) is an individual clinical provider in College Station, Texas, licensed in Texas (31998) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1568422707
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JON A. BERGERON JR.Credential: P.H.D.
Location Address16741 WOODLAKE DRCollege Station, TX 77845-8273
Mailing Address16741 Woodlake DrCollege Station, TX 77845-8273 · (979) 575-5198
Phone(979) 575-5198
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 25, 2013
✔ NPI 1568422707 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 TX · 31998
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.
16741 WOODLAKE DR, College Station, TX 77845
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Other Identifiers 5

OtherP00028151TX · Rr/medicare
Other86790ATX · Blue Shield
Medicare UPINP90531TX
Medicare ID-Type Unspecified8A7573TX
Medicaid1596470-01TX

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 Jon Bergeron's NPI number?

The NPI number for Jon Bergeron is 1568422707. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Jon Bergeron located?

Jon Bergeron practices at 16741 Woodlake Dr, College Station, TX 77845. The listed phone number is (979) 575-5198.

What is Jon Bergeron'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 Jon Bergeron was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.