Zachary Gordon Bergson, PhD
Psychologist in Plainview, NY. Individual provider (NPI-1).
NPI number1801713698
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1801713698
- Entity type
- Individual (NPI-1)
- Name
- Zachary Gordon Bergson
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2026
- Certification date
- Jul 2, 2026
- Last updated
- Jul 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
19 Brook PathPlainview, NY 11803-3734
Phone 631-759-0593
Mailing address
19 Brook PathPlainview, NY 11803-3734
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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