DR. JOHN H BERGERON PH.D.
NPI 1679513246
Psychologist - Clinical in Cambridge, MA
About Dr. John H Bergeron Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN H BERGERON PH.D. (NPI 1679513246) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (8494) and active in the NPI registry since June 2006. He has opted out of Medicare through January 29, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. John H Bergeron 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 29, 2016 through January 29, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
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 John Bergeron's NPI number?
The NPI number for John Bergeron is 1679513246. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is John Bergeron located?
John Bergeron practices at 1679 Massachusetts Ave First Floor, Cambridge, MA 02138. The listed phone number is (617) 441-8008.
What is John Bergeron's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Bergeron enrolled in Medicare?
No. John Bergeron has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for John Bergeron was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. John H Bergeron, PH.D. · NPI 1679513246
Clinical provider in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1679513246 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 8494 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1679 MASSACHUSETTS AVE, FIRST FLOOR, Cambridge, MA 02138-1807
- **Phone:** (617) 441-8008 · **Fax:** (617) 441-3030
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 21, 2009
- **Other identifiers:** Medicare ID-Type Unspecified W51487 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679513246) · Data from the CMS NPPES public registry.