Ms Kathleen Ruth Bergen, MFT-I is a
Marriage & Family Therapist based in Fresno, California. Ms Kathleen Ruth Bergen is licensed to practice in California (license number 99895) and her current practice location is
1141 W Shaw Ave Ste 203, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 449-2730.
NPI number for Ms Kathleen Ruth Bergen is 1144743022 and her current mailing address is 1141 W Shaw Ave Ste 203, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144743022.
Healthcare Provider's Profile
Full Name | Ms Kathleen Ruth Bergen |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1141 W Shaw Ave Ste 203, Fresno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144743022
- Provider Enumeration Date: 07/21/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Ms Kathleen Ruth Bergen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144743022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY20546 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSCY20546 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 99895 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathleen Ruth Bergen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kathleen Ruth Bergen, MFT-I 1141 W Shaw Ave Ste 203, Fresno, CA 93711-3713 Ph: (559) 449-2730 | Ms Kathleen Ruth Bergen, MFT-I 1141 W Shaw Ave Ste 203, Fresno, CA 93711-3713 Ph: (559) 449-2730 |
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