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Active NPI 1265762827 Individual Practitioner Male Practitioner

Thomas Anton Bergvik , MA, LPC

Counselor - Professional • Hamden, CT

Professional Overview & Biography Verified Profile Summary

Thomas Bergvik, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Hamden, CT. Practice services are available at 3074 WHITNEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3074 Whitney Ave
Building I 2nd Floor

Hamden, CT 065182391

Telephone 8603052764
Fax 2032872404
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Hamden, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Hamden, CT (2870 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CT 2440

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
008049135 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Barbara Stark , LMFT

Marriage & Family Therapist

NPI 1811160526

Licensed Marriage and Family Therapist

Ann Fowler , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891818712

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2014

Registered at 3074 WHITNEY AVE, BUILDING I 2ND FLOOR, HAMDEN, CT 065182391 (Tel: 8603052764)

📍
Updated Business Mailing Address February 03, 2014

Registered at 3074 WHITNEY AVE, BUILDING I 2ND FLOOR, HAMDEN, CT 065182391 (Tel: 8603052764)

👤
Provider Name / Credentials Updated February 03, 2014

Recorded as THOMAS BERGVIK, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2014

Counselor (License #2440 in CT)

🟢
Initial NPI Registration & Enumeration January 05, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265762827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2010
Last Update: February 03, 2014
Sole Proprietor: Yes

Mailing Address

3074 Whitney Ave, Building I 2nd Floor

Hamden, CT 065182391

Phone: 8603052764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.