IndividualActive
Kelly Bergstrom, PHD
NPI 1063399962 · Psychologist · Milwaukee, WI
Kelly Bergstrom, PHD is a Psychologist provider in Milwaukee, WI (NPI 1063399962).
Provider details
- NPI number
- 1063399962
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 541157 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5000 W National Ave
Milwaukee, WI 53295-0001
Phone: (414) 384-2000
Street-level locationGet directions
Mailing address
5000 W National Ave
Milwaukee, WI 53295-0001
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Kelly Bergstrom's NPI number?
- Kelly Bergstrom's National Provider Identifier (NPI) is 1063399962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bergstrom's specialty?
- Kelly Bergstrom is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelly Bergstrom located?
- Kelly Bergstrom's practice location on file with NPPES is 5000 W National Ave, Milwaukee, WI 53295-0001.
- What is Kelly Bergstrom's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bergstrom is (414) 384-2000.
- Is Kelly Bergstrom's NPI active?
- Yes — Kelly Bergstrom's NPI (1063399962) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.