Jeffrey S. Bergmann, PHD, L.P.C.
NPI 1386318830ActiveIndividual· Psychologist, Clinical· Columbia, MO
Psychologist, Clinical (PHD, L.P.C.) in Columbia, Missouri, licensed in MO, with an NPI issued in August 2021.
Overview
| NPI | 1386318830 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, L.P.C. |
| Sole proprietor | No |
| NPI issued | Aug 6, 2021 |
| Last updated in NPPES | Apr 7, 2025 |
| Certified by provider | Apr 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2022009735 | MO |
| Counselor, Mental Health | 101YM0800X | 2011032619 | MO |
| Counselor, Professional | 101YP2500X | 2011032619 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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