Organization Active NPI

Bridge Psychological Services, Inc.

  • Counseling Psychologist
  • Oakland, CA
National Provider Identifier
1417462011
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY28846 Issued in CA
Legal business name
BRIDGE PSYCHOLOGICAL SERVICES, INC.
Practice address
410 12TH St Ste 325
Oakland, CA 94607-4489
Phone
(510) 338-3325
Fax
(510) 495-6955
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Dr. Dana Meeks, PSYDNPI 1336466218
Title
Owner & Clinical Director
Phone
(510) 338-3325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PSY28846 CA Primary

Addresses

Primary practice location

410 12TH St Ste 325
Oakland, CA 94607-4489

Mailing address

410 12TH St Ste 325
Oakland, CA 94607-4489
Phone (510) 338-3325

Other names 1

  • Dana Meeks PsyD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180404001362 CA Part B Supplier - Clinic/Group Practice 6709149727 Receives reassigned benefits from 3 practitioners
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

410 12th St
Ste 325
Oakland, CA 94607
Phone (510) 338-3325

1624 Franklin St
Ste 401
Oakland, CA 94612
Phone (510) 338-3325

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1417462011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 12TH ST STE 325",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074489",
            "telephone_number": "510-338-3325",
            "fax_number": "510-495-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 12TH ST STE 325",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074489",
            "telephone_number": "510-338-3325",
            "fax_number": "510-495-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "510-338-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dana Meeks PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.