DR. STEPHEN ALEXANDER BERGDAHL PH.D.
NPI 1346615655
Psychologist - Clinical in Moscow, ID

Q: What is Stephen Bergdahl's NPI number?

The NPI number for Stephen Bergdahl is 1346615655. It was assigned to this individual provider in the NPPES registry on December 11, 2015.

Q: What is Stephen Bergdahl's specialty?

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

Q: Is Stephen Bergdahl enrolled in Medicare?

No. Stephen Bergdahl has opted out of Medicare through December 12, 2026. 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 Stephen Bergdahl was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 December 11, 2015Opted out of Medicare · through Dec 12, 2026

530 S ASBURY ST STE 4A, MOSCOW, ID 83843(208) 310-2266(888) 830-7441 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Dec 11, 2015 (2 updates tracked since 2015).

On this page

About Dr. Stephen Alexander Bergdahl Ph.d. NPPES

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

DR. STEPHEN ALEXANDER BERGDAHL PH.D. (NPI 1346615655) is an individual clinical provider in Moscow, Idaho, licensed in Idaho (PSY-203202) and active in the NPI registry since December 2015. He has opted out of Medicare through December 12, 2026.

NPPES Registry Identity

NPI1346615655

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STEPHEN ALEXANDER BERGDAHLCredential: PH.D.

Location Address530 S ASBURY ST STE 4AMoscow, ID 83843-2243

Mailing Address530 S Asbury St Ste 4aMoscow, ID 83843-2243 · (208) 310-2266 · Fax (888) 830-7441

Phone(208) 310-2266

Fax(888) 830-7441

Sole ProprietorNo

Enumeration DateDecember 11, 2015

Last NPPES UpdateAugust 22, 20252 updates tracked since enumeration

NPPES CertifiedAugust 22, 2025

✔ NPI 1346615655 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 ID · PSY-203202

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.

530 S ASBURY ST STE 4A, Moscow, ID 83843

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Stephen Alexander Bergdahl 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 December 12, 2024 through December 12, 2026.

Opt-Out Effective DateDecember 12, 2024

Opt-Out In Effect ThroughDecember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

BERGDAHL ASSESSMENT & PSYCHOTHERAPY, PLLC

Psychologist (Clinical)

530 S ASBURY ST STE 4A
MOSCOW, ID 83843

Latah County (208) 310-2266

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 Stephen Bergdahl's NPI number?

The NPI number for Stephen Bergdahl is 1346615655. It was assigned to this individual provider in the NPPES registry on December 11, 2015.

Where is Stephen Bergdahl located?

Stephen Bergdahl practices at 530 S Asbury St Ste 4A, Moscow, ID 83843. The listed phone number is (208) 310-2266.

What is Stephen Bergdahl's specialty?

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

Is Stephen Bergdahl enrolled in Medicare?

No. Stephen Bergdahl has opted out of Medicare through December 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stephen Bergdahl accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stephen Bergdahl 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 Stephen Bergdahl was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.