Individual provider Active NPI

Bruce H Feingold, PH.D.

  • Mental Health Counselor
  • Walnut Creek, CA
National Provider Identifier
1265453674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PSY7464 Issued in CA
Practice address
1910 Olympic Blvd
Suite 230
Walnut Creek, CA 94596-5096
Phone
(925) 945-1315
Fax
(925) 939-4159
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PSY7464 CA Primary

Addresses

Primary practice location

1910 Olympic Blvd
Suite 230
Walnut Creek, CA 94596-5096

Mailing address

1910 Olympic Blvd
Suite 230
Walnut Creek, CA 94596-5096
Phone (925) 945-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7464CAMDAddiction (Substance Use Disorder) Counselor
PSY7464CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265453674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD",
            "address_2": "SUITE 230",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965096",
            "telephone_number": "925-945-1315",
            "fax_number": "925-939-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD",
            "address_2": "SUITE 230",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965096",
            "telephone_number": "925-945-1315",
            "fax_number": "925-939-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINGOLD",
        "first_name": "BRUCE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY7464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.