Organization Active NPI

Bridgman Psychological Services, P.C.

  • Psychologist
  • Lake Forest, CA
National Provider Identifier
1386811776
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14510 Issued in CA
Legal business name
BRIDGMAN PSYCHOLOGICAL SERVICES, P.C.
Practice address
22792 Centre Dr Ste 103
Lake Forest, CA 92630-6304
Phone
(949) 707-6633
Fax
(949) 770-5433
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Laird Bridgman, PSY.D.
Title
Ceo/Psychologist
Phone
(949) 636-2207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY14510 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC28928 CA

Addresses

Primary practice location

22792 Centre Dr Ste 103
Lake Forest, CA 92630-6304

Mailing address

22792 Centre Dr Ste 103
Lake Forest, CA 92630-6304
Phone (949) 707-6633

National Provider Directory

National Provider Directory

Locations

22792 Centre Dr
Ste 290
Lake Forest, CA 92630
Phone (949) 661-9038

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1386811776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22792 CENTRE DR STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306304",
            "telephone_number": "949-707-6633",
            "fax_number": "949-770-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22792 CENTRE DR STE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306304",
            "telephone_number": "949-707-6633",
            "fax_number": "949-770-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGMAN PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "BRIDGMAN",
        "authorized_official_first_name": "LAIRD",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-636-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14510",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.