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BERGDAHL ASSESSMENT & PSYCHOTHERAPY, PLLC
NPI 1568258457
Psychologist - Clinical in Moscow, ID

Active since April 16, 2025
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.

About Bergdahl Assessment & Psychotherapy, Pllc NPPES

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

BERGDAHL ASSESSMENT & PSYCHOTHERAPY, PLLC (NPI 1568258457) is a healthcare organization registered as a clinical in Moscow, Idaho and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Moscow and lists Stephen A Bergdahl, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1568258457
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBERGDAHL ASSESSMENT & PSYCHOTHERAPY, PLLC
Location Address530 S ASBURY ST STE 4AMoscow, ID 83843-2243
Mailing Address2254 Westview DrMoscow, ID 83843-9623 · (559) 288-1747
Phone(208) 310-2266
Fax(888) 830-7441
Organization SubpartNo
Authorized OfficialStephen A BergdahlClinical Psychologist · (559) 288-1747
Enumeration DateApril 16, 2025
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1568258457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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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Secondary Practice Location 1

Location 12254 Westview DrMoscow, ID 83843-9623 · Phone (559) 288-1747

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. STEPHEN ALEXANDER BERGDAHL PH.D.
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 Bergdahl Assessment & Psychotherapy, PLLC's NPI number?

The NPI number for Bergdahl Assessment & Psychotherapy, PLLC is 1568258457. It was assigned to this organization in the NPPES registry on April 16, 2025.

Where is Bergdahl Assessment & Psychotherapy, PLLC located?

Bergdahl Assessment & Psychotherapy, PLLC is located at 530 S Asbury St Ste 4A, Moscow, ID 83843. The listed phone number is (208) 310-2266.

What is Bergdahl Assessment & Psychotherapy, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bergdahl Assessment & Psychotherapy, PLLC 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.