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

Dr. Kelly Ann Bergstrom, PHD

Individual provider Psychologist · NPI 1063399962

Dr. Kelly Ann Bergstrom, PHD is a Psychologist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5000 W National Ave
Milwaukee, WI 53295-0001
Phone: (414) 384-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 541157 (WI)

Record details

NPI number1063399962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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