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DR. JESSICA BERGSTROM PSY.D.
NPI 1508333618
Psychologist - Clinical in Walnut Creek, CA

Active since October 26, 2018PECOS Enrolled
710 S BROADWAY, WALNUT CREEK, CA 94596(925) 295-2999 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Oct 26, 2018 (2 updates tracked since 2018).

About Dr. Jessica Bergstrom Psy.d. NPPES

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

DR. JESSICA BERGSTROM PSY.D. (NPI 1508333618) is an individual clinical provider in Walnut Creek, California, licensed in California (PSY-28248) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508333618
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA BERGSTROMCredential: PSY.D.
Location Address710 S BROADWAYWalnut Creek, CA 94596-5294
Mailing Address710 S BroadwayWalnut Creek, CA 94596-5294
Phone(925) 295-2999
Sole ProprietorNo
Enumeration DateOctober 26, 2018
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1508333618 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 CA · PSY-28248
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.
710 S BROADWAY, Walnut Creek, CA 94596
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Bergstrom Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ELIZABETH KRAMER LMFT
Marriage & Family Therapist
710 S BROADWAY
WALNUT CREEK, CA 94596
Contra Costa County (925) 274-9049
KATRINA DOMINGO PSY.D.
Psychologist
710 S BROADWAY, SUITE #209
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4901
DR. JENNIFER JO BARKIN PSY.D.
Psychologist (Clinical)
710 S BROADWAY, SUITE 300
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4145
MS. SUE ELLEN FLOOD LCSW
Social Worker (Clinical)
710 S BROADWAY
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5263
MR. LAWRENCE RICHARD FOSTER LMFT.
Counselor (Addiction (Substance Use Disorder))
710 S BROADWAY
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4619
CATHARINE ELIZABETH KIBIRA PH.D.
Psychologist (Addiction (Substance Use Disorder))
710 S BROADWAY
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4145
JESSICA SINGERMAN PSY.D.
Psychologist
710 S BROADWAY
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4145
KAISER PERMANENTE
Health Maintenance Organization
710 S BROADWAY
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-2960

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 Jessica Bergstrom's NPI number?

The NPI number for Jessica Bergstrom is 1508333618. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Where is Jessica Bergstrom located?

Jessica Bergstrom practices at 710 S Broadway, Walnut Creek, CA 94596. The listed phone number is (925) 295-2999.

What is Jessica Bergstrom's specialty?

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

Is Jessica Bergstrom enrolled in Medicare?

Yes. Jessica Bergstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bergstrom was last updated on January 3, 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.