BERNIE REX HERSHBERGER PH.D.
NPI 1154074300
Psychologist in Seattle, WA

Active since January 28, 2022Opted out of Medicare · through Jan 10, 2028
221 33RD AVE E, SEATTLE, WA 98112(207) 837-9377 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bernie Rex Hershberger Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNIE REX HERSHBERGER PH.D. (NPI 1154074300) is an individual psychologist in Seattle, Washington, licensed in Washington (PY61087867) and active in the NPI registry since January 2022. He has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1154074300
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBERNIE REX HERSHBERGERCredential: PH.D.
Location Address221 33RD AVE ESeattle, WA 98112-4909
Mailing Address221 33rd Ave ESeattle, WA 98112-4909 · (207) 837-9377
Sole ProprietorYes
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1154074300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY61087867
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
221 33RD AVE E, Seattle, WA 98112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Bernie Rex Hershberger Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernie Hershberger's NPI number?

The NPI number for Bernie Hershberger is 1154074300. It was assigned to this individual provider in the NPPES registry on January 28, 2022.

Where is Bernie Hershberger located?

Bernie Hershberger practices at 221 33rd Ave E, Seattle, WA 98112. The listed phone number is (207) 837-9377.

What is Bernie Hershberger's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Bernie Hershberger enrolled in Medicare?

No. Bernie Hershberger has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bernie Hershberger was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.