DR. JANICE BLAKE BERGMAN PH.D.
NPI 1821172826
Psychologist in Nanuet, NY

Active since October 25, 2006Opted out of Medicare · through Feb 5, 2028
55 OLD TURNPIKE RD, SUITE 601, NANUET, NY 10954(845) 627-3413(212) 567-9476 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Janice Blake Bergman Ph.d. NPPES

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

DR. JANICE BLAKE BERGMAN PH.D. (NPI 1821172826) is an individual psychologist in Nanuet, New York, licensed in New York (007741) and active in the NPI registry since October 2006. She has opted out of Medicare through February 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821172826
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JANICE BLAKE BERGMANCredential: PH.D.
Location Address55 OLD TURNPIKE RD, SUITE 601Nanuet, NY 10954-2461
Mailing Address20 Roslyn LnNew City, NY 10956-3616 · (845) 638-4926
Fax(212) 567-9476
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1821172826 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 NY · 007741
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.
55 OLD TURNPIKE RD, Nanuet, NY 10954

Other Names 1

Former Name (1)Dr. Janice Blake Duffy Ph.d.

Other Identifiers 6

OtherV65662NY · Empire Bcbs
Other5065663NY · Aetna
Other142513000NY · Magellan
Other6802403NY · Valueoptions/ghi
Medicaid02206444NY
Other61-32223NY · United Behavioral Health

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. Janice Blake 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 February 5, 2018 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2018
Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Chiropractor
55 OLD TURNPIKE RD, STE 601
NANUET, NY 10954
Licensed Practical Nurse
55 OLD TURNPIKE RD
NANUET, NY 10954
Licensed Practical Nurse
55 OLD TURNPIKE RD
NANUET, NY 10954
Licensed Practical Nurse
55 OLD TURNPIKE RD
NANUET, NY 10954
Licensed Practical Nurse
55 OLD TURNPIKE RD
NANUET, NY 10954
Internal Medicine
55 OLD TURNPIKE RD, SUITE 607
NANUET, NY 10954
Licensed Practical Nurse
55 OLD TURNPIKE RD
NANUET, NY 10954
Internal Medicine (Gastroenterology)
55 OLD TURNPIKE RD, SUITE 605
NANUET, NY 10954

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 Janice Bergman's NPI number?

The NPI number for Janice Bergman is 1821172826. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Dr. Janice Blake Duffy Ph.D..

Where is Janice Bergman located?

Janice Bergman practices at 55 Old Turnpike Rd Suite 601, Nanuet, NY 10954. The listed phone number is (845) 627-3413.

What is Janice Bergman's specialty?

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

Is Janice Bergman enrolled in Medicare?

No. Janice Bergman has opted out of Medicare through February 5, 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 Janice 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.