Dr Jessica Bulala Luiz, PSYD - Psychologist in Oakland, CA

Dr Jessica Bulala Luiz, PSYD is a Psychologist - Clinical based in Oakland, California. Dr Jessica Bulala Luiz is licensed to practice in California (license number 26902) and her current practice location is 440 Grand Ave Ste 450, Oakland, California. She can be reached at her office (for appointments etc.) via phone at (410) 456-5773.

NPI number for Dr Jessica Bulala Luiz is 1104106392 and her current mailing address is 440 Grand Ave Ste 450, Oakland, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104106392.

Contact Information

Dr Jessica Bulala Luiz, PSYD
440 Grand Ave Ste 450,
Oakland, CA 94610-5062
(410) 456-5773
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jessica Bulala Luiz
GenderFemale
SpecialityPsychologist - Clinical
Location440 Grand Ave Ste 450, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104106392
  • Provider Enumeration Date: 08/19/2011
  • Last Update Date: 05/18/2020

Medical Identifiers

Medical identifiers for Dr Jessica Bulala Luiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104106392NPI-NPPES
178548MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY26902 (California)Secondary
103TC0700XPsychologist - Clinical 26902 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jessica Bulala Luiz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jessica Bulala Luiz, PSYD
440 Grand Ave Ste 450,
Oakland, CA 94610-5062

Ph: (410) 456-5773
Dr Jessica Bulala Luiz, PSYD
440 Grand Ave Ste 450,
Oakland, CA 94610-5062

Ph: (410) 456-5773

Reviews and Comments


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