Laurie L. Bergner, PH.D.
NPI 1164538393ActiveIndividual· Psychologist, Clinical· Bloomington, IL
Psychologist, Clinical (PH.D.) in Bloomington, Illinois, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1164538393 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 21, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 1975 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other clinical psychologists in Bloomington
- 1033132790
- 1053368605
- 1164289930
- 1194795344
- 1447270368
- 1477860609
- 1689687709
- 1710493770
- 1255829081
- 1255853396
- 1285241893
- 1649762667
All 39 clinical psychologists in Bloomington · All clinical psychologists in Illinois