| Bridge Psychological Services, Inc. | |
|
410 12th St Ste 325 Oakland CA 94607-4489 | |
| (510) 338-3325 | |
| (510) 495-6955 |
| Full Name | Bridge Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 410 12th St Ste 325, Oakland, California |
| Authorized Official Name and Position | Dana Meeks (OWNER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 5103383325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Psychological Services, Inc. 410 12th St Ste 325 Oakland CA 94607-4489 Ph: (510) 338-3325 | Bridge Psychological Services, Inc. 410 12th St Ste 325 Oakland CA 94607-4489 Ph: (510) 338-3325 |
| NPI Number | 1417462011 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Medicare PECOS PAC ID | 6709149727 |
|---|---|
| Medicare Enrollment ID | O20180404001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417462011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY28846 (California) | Primary |
| Provider Name | Jacqueline A Josephson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013060631 PECOS PAC ID: 1658526850 Enrollment ID: I20130219000103 |
| Provider Name | Dana Meeks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336466218 PECOS PAC ID: 8921383530 Enrollment ID: I20170322001939 |
| Provider Name | Wendy Lena Eifert Akramian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932582251 PECOS PAC ID: 4981049764 Enrollment ID: I20240303000183 |
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