Blossoming Minds Psychological Services PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BLOSSOMING MINDS PSYCHOLOGICAL SERVICES PC

Practice address

1544 Eureka Rd Ste 110
Roseville, CA 95661-3092

Phone

(650) 549-5617

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Bridget Mary Wieckowski, PSYDNPI 1366818577

Title

Licensed Psychologist

Phone

(650) 549-5617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bridget Mary Wieckowski, PSYD

  • Psychologist
  • San Jose, CA
  • NPI 1366818577
  NPD Authorized official

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1255298535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1979",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956777979",
            "telephone_number": "650-549-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 EUREKA RD STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613092",
            "telephone_number": "650-549-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING MINDS PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "WIECKOWSKI",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "650-549-5617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Michelle Blonstein, NURSE PRACTITIONER
• Ashley Bloom, R.N.
• Lindsey Bloom, ACCNS-AG
• Leah Bloomfield-Strange, DO
• Blossom Psychiatry LLC
• Blue Oaks Eyecare Inc
• Blue Sky Counseling Center Corporation
• Bonnie Beau Blue, MFT
• Phil Bluemel, M.A., LMFT
• Charlotte Joan Bobbitt, LMFT

• Psychologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.