Dr. Marvin E Bergman, Ph.D.
Psychologist, Clinical Child & Adolescent in Rye Brook, NY. Individual provider (NPI-1).
NPI number1821180225
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1821180225
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marvin E Bergman
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- 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 |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 005543-1 | NY | Yes |
| 103T00000X | Psychologist | 005543-1 | NY | |
| 103TC0700X | Psychologist, Clinical | 005543-1 | NY |
Practice location
7 Arlington PlRye Brook, NY 10573-1710
Phone 914-937-6699 · Fax 914-937-2713
Mailing address
7 Arlington PlRye Brook, NY 10573-1710
Phone 914-937-6699 · Fax 914-937-2713
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.
Other Clinical Child & Adolescent Psychologist providers in Rye Brook, NY
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