Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas A. Bergstrom, Ph D , PLLC

Organization Community/Behavioral Health Agency · NPI 1154501682

Douglas A. Bergstrom, Ph D , PLLC is a Community/Behavioral Health Agency in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 E Merritt St
Prescott, AZ 86301-2028
Phone: (928) 445-3835
Fax: (928) 445-7071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 1142 (AZ)

Record details

NPI number1154501682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Bergstrom — Psychologist · (928) 445-3835
NPI enumeratedNovember 13, 2007
Last updated in NPPESNovember 13, 2007
Mailing address143 E Merritt St, Prescott, AZ 86301-2028

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