MS. KATHLEEN G BERGMAN MA LP
NPI 1912068834
Psychologist in Blaine, MN

Active since December 13, 2006
10267 UNIV AVE N, ST 203, BLAINE, MN 55434(612) 210-0367(763) 786-5462 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen G Bergman Ma Lp NPPES

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

MS. KATHLEEN G BERGMAN MA LP (NPI 1912068834) is an individual psychologist in Blaine, Minnesota, licensed in Minnesota (1469) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1912068834
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. KATHLEEN G BERGMANCredential: MA LP
Location Address10267 UNIV AVE N, ST 203Blaine, MN 55434
Mailing Address10267 Univ Ave N, St 203Blaine, MN 55434 · (612) 210-0367 · Fax (763) 786-5462
Fax(763) 786-5462
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912068834 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 MN · 1469
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.
10267 UNIV AVE N, Blaine, MN 55434

Other Names 1

Professional Name (2)Ms. Kathy Bergman

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 Bergman's NPI number?

The NPI number for Kathleen Bergman is 1912068834. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Ms. Kathy Bergman.

Where is Kathleen Bergman located?

Kathleen Bergman practices at 10267 Univ Ave N St 203, Blaine, MN 55434. The listed phone number is (612) 210-0367.

What is Kathleen Bergman's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen 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.