The Bridge Therapeutic & Evaluation Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE BRIDGE THERAPEUTIC & EVALUATION SERVICES, LLC

Practice address

7360 Grace Dr
Columbia, MD 21044-2470

Phone

(202) 731-7352

NPI assigned

Aug 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karena Wilson-Plater, PSY.D.NPI 1518268457

Title

Owner/Clinical Psychologist

Phone

(301) 938-7276

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karena A Wilson-Plater, PSY.D.

  • Clinical Psychologist
  • South Riding, VA
  • NPI 1518268457
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1235742552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 ZEKIAH CT",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135940",
            "telephone_number": "301-938-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 GRACE DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442470",
            "telephone_number": "202-731-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE THERAPEUTIC & EVALUATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "WILSON-PLATER",
        "authorized_official_first_name": "KARENA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-938-7276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.