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DOUGLAS A. BERGSTROM, PH.D., PLLC
NPI 1154501682
Community/Behavioral Health in Prescott, AZ

Active since November 13, 2007
143 E MERRITT ST, PRESCOTT, AZ 86301(928) 445-3835(928) 445-7071 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas A. Bergstrom, Ph.d., Pllc NPPES

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

DOUGLAS A. BERGSTROM, PH.D., PLLC (NPI 1154501682) is a healthcare organization registered as a community/behavioral health in Prescott, Arizona and active in the NPI registry since November 2007. The organization lists Douglas Alan Bergstrom, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154501682
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDOUGLAS A. BERGSTROM, PH.D., PLLC
Location Address143 E MERRITT STPrescott, AZ 86301-2028
Mailing Address143 E Merritt StPrescott, AZ 86301-2028 · (928) 445-3835 · Fax (928) 445-7071
Phone(928) 445-3835
Fax(928) 445-7071
Organization SubpartNo
Authorized OfficialDouglas Alan BergstromPsychologist · (928) 445-3835
Enumeration DateNovember 13, 2007
✔ NPI 1154501682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AZ · 1142
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
143 E MERRITT ST, Prescott, AZ 86301
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GAIL ANN WAGNER M.S.
Counselor (Mental Health)
143 E MERRITT ST
PRESCOTT, AZ 86301
Yavapai County (928) 445-5027
DOUGLAS ALAN BERGSTROM PH.D.
Psychologist (Clinical)
143 E MERRITT ST
PRESCOTT, AZ 86301
Yavapai County (928) 445-3835
RORY B. MADDEN
Psychologist (Counseling)
143 E MERRITT ST
PRESCOTT, AZ 86301
Yavapai County (928) 458-5447
WAGNER & ASSOCIATES PLLC
Psychologist
143 E MERRITT ST
PRESCOTT, AZ 86301
Yavapai County (928) 445-5027
PERFORMANCE FALLON INC
Psychologist (Clinical)
143 E MERRITT ST
PRESCOTT, AZ 86301
Yavapai County (928) 460-4443
DR. DANIEL FALLON PSYD
Psychologist (Clinical)
143 E MERRITT ST
PRESCOTT, AZ 86301
Yavapai County (928) 460-4443

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 Douglas A. Bergstrom, Ph.D., PLLC's NPI number?

The NPI number for Douglas A. Bergstrom, Ph.D., PLLC is 1154501682. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Douglas A. Bergstrom, Ph.D., PLLC located?

Douglas A. Bergstrom, Ph.D., PLLC is located at 143 E Merritt St, Prescott, AZ 86301. The listed phone number is (928) 445-3835.

What is Douglas A. Bergstrom, Ph.D., PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Douglas A. Bergstrom, Ph.D., PLLC was last updated on November 13, 2007, 18 years ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. 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.