Douglas Bergstrom, PH.D.
NPI 1063536688 · Clinical Psychologist · Prescott, AZ
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Bergstrom, PH.D. is a Clinical Psychologist provider in Prescott, AZ (NPI 1063536688).
Provider details
- NPI number
- 1063536688
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1142 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
292 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 292 | $100 |
Typical Medicare-allowed amounts for these services range $100–$100 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Douglas Bergstrom's NPI number?
- Douglas Bergstrom's National Provider Identifier (NPI) is 1063536688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Bergstrom's specialty?
- Douglas Bergstrom is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Douglas Bergstrom located?
- Douglas Bergstrom's practice location on file with NPPES is 143 E Merritt St, Prescott, AZ 86301-2028.
- What is Douglas Bergstrom's phone number?
- The practice phone number listed in the NPPES registry for Douglas Bergstrom is (928) 445-3835.
- Does Douglas Bergstrom accept Medicare?
- Douglas Bergstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Bergstrom's NPI active?
- Yes — Douglas Bergstrom's NPI (1063536688) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.