Doctor profile · Federal record
Dr. Douglas Bergstrom, PH.D.
Clinical Psychologist · Prescott, AZ
- NPI 1063536688
- Accepts Medicare
- 43 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
143 E Merritt St
Prescott, AZ 863012028
(928) 445-3835
fax (928) 445-7071
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1983 — 43 yrs since
- Specialty taxonomy
- 103TC0700X — NUCC code
- State license (1)
- Arizona #1142
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063536688. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
323
Distinct HCPCS
2
Medicare allowed
$32,320
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90834 |
Psychotherapy, 45 minutes | 311 | 22 | $97 | |
90791 |
Psychiatric diagnostic evaluation | 12 | 12 | $171 |
In context: peer comparison
Among 2 peers in Prescott Clinical Psychologist, average services per provider: 175. This provider delivers 1.8× the peer median.Frequently asked questions
What is Dr. Douglas Bergstrom's medical specialty?
Dr. Douglas Bergstrom practices Clinical Psychologist in Prescott, AZ.
Where does Dr. Douglas Bergstrom practice?
Dr. Douglas Bergstrom practices at 143 E Merritt St, Prescott, AZ 863012028. Office phone: 9284453835.
What is Dr. Douglas Bergstrom's NPI?
Dr. Douglas Bergstrom's National Provider Identifier (NPI) is 1063536688, issued by NPPES.
Does Dr. Douglas Bergstrom accept Medicare assignment?
Yes. Dr. Douglas Bergstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Douglas Bergstrom commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.