Individual ProviderTheresa Ann BergherrPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address357 Whitney Ave, Suite 204, New Haven, CT 06511-2364(203) 562-6400PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Ann Bergherr does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1841355377Provider TypeIndividualFull NameBergherr, Theresa AnnTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date12/26/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address357 Whitney Ave, Suite 204, New Haven, CT 06511-2364Phone(203) 562-6400Fax(203) 562-6401Mailing LocationMailing Address357 Whitney Ave, Suite 204, New Haven, CT 06511-2364Phone(203) 562-6400Fax(203) 562-6401Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense033086ConnecticutProvider IdentifiersIDDescriptionIssuerID202383DescriptionOtherIssuerMHN ID NUMBERConnecticutID010033086CT04DescriptionOtherIssuerANTHEM BCBSConnecticut