Active NPI
Jessica Bergner, PH.D.
- Clinical Psychologist
- Kansas City, MO
National Provider Identifier
1710688288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2022038826
- Practice address
- 4801 E Linwood Blvd
Kansas City, MO 64128-2226 - Phone
- (816) 861-4700
- NPI assigned
- Mar 13, 2023
- Last updated
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2022038826 | MO | Primary |
| Health Psychologist | 103TH0004X | 2022038826 | MO | |
| Health Psychologist | 103TH0004X | LP03524 | KS |
Addresses
Primary practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (913) 303-0397
Other names 1
- Jessica Hildreth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022038826 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1710688288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "913-303-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-861-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGNER",
"first_name": "JESSICA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2022038826",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MO",
"license": "2022038826",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "KS",
"license": "LP03524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HILDRETH",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.