DR. DARIN BERGEN PSY.D.
NPI 1205070265
Psychologist - Clinical in Portland, OR

Q: What is Darin Bergen's NPI number?

The NPI number for Darin Bergen is 1205070265. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Q: What is Darin Bergen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Darin Bergen enrolled in Medicare?

No. Darin Bergen has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Darin Bergen was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 21, 2009Opted out of Medicare · through Apr 1, 2028

975 SE SANDY BLVD STE 160, PORTLAND, OR 97214(503) 341-6536(503) 343-6272 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Darin Bergen Psy.d. NPPES

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

DR. DARIN BERGEN PSY.D. (NPI 1205070265) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1857) and active in the NPI registry since April 2009. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1205070265

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DARIN BERGENCredential: PSY.D.

Location Address975 SE SANDY BLVD STE 160Portland, OR 97214-2498

Mailing Address4110 Se Hawthorne Blvd, Pmb 425Portland, OR 97214-5246 · (503) 341-6536

Phone(503) 341-6536

Fax(503) 343-6272

Sole ProprietorYes

Enumeration DateApril 21, 2009

Last NPPES UpdateMay 6, 2020

NPPES CertifiedMay 6, 2020

✔ NPI 1205070265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1857

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

975 SE SANDY BLVD STE 160, Portland, OR 97214

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Darin Bergen Psy.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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

TAMARA KAY JESME PSY.D.

Psychologist (Clinical)

975 SE SANDY BLVD STE 160
PORTLAND, OR 97214

Multnomah County (503) 805-9392

DR. SIRI R HOOGEN PH.D.

Psychologist (Clinical)

975 SE SANDY BLVD STE 160
PORTLAND, OR 97214

Multnomah County (971) 201-2192

DR. KARLAINA MATTHEWS BROOKE PSY.D.

Psychologist (Clinical)

975 SE SANDY BLVD STE 160
PORTLAND, OR 97214

Multnomah County (503) 893-4419

DR. MADELINE JACOBS DO

Psychiatry & Neurology (Psychiatry)

975 SE SANDY BLVD STE 160
PORTLAND, OR 97214

Multnomah County (971) 265-6211

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 Darin Bergen's NPI number?

The NPI number for Darin Bergen is 1205070265. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Darin Bergen located?

Darin Bergen practices at 975 SE Sandy Blvd Ste 160, Portland, OR 97214. The listed phone number is (503) 341-6536.

What is Darin Bergen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Darin Bergen enrolled in Medicare?

No. Darin Bergen has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Darin Bergen accept?

Health plans from PacificSource Health Plans list Darin Bergen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darin Bergen was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.