Organization Active NPI

Three Bridges Psychology & Mediation

  • Forensic Psychologist
  • El Cerrito, CA
National Provider Identifier
1457907040
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
Legal business name
THREE BRIDGES PSYCHOLOGY & MEDIATION
Practice address
402 Colusa Ave
El Cerrito, CA 94530-3327
Phone
(510) 913-2232
NPI assigned
Aug 11, 2019
Last updated
Aug 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Authorized official

Name
Dr. Janella Street, PSYDNPI 1497819825
Title
Ceo
Phone
(510) 847-7452

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Forensic Psychologist 103TF0200X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

402 Colusa Ave
El Cerrito, CA 94530-3327

Mailing address

3060 El Cerrito PLZ # 405
El Cerrito, CA 94530-4011
Phone (510) 913-2232

Other names 1

  • JSD Psychological Services Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL drstreet@threebridgesforpsy.com Direct
CONNECT URL drstreet@threebridgesforpsy.com Direct

National Provider Directory

National Provider Directory

Locations

402 Colusa Ave
El Cerrito, CA 94530
Phone (510) 559-3640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1457907040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 EL CERRITO PLZ # 405",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304011",
            "telephone_number": "510-913-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COLUSA AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303327",
            "telephone_number": "510-913-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE BRIDGES PSYCHOLOGY & MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "JANELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-847-7452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drstreet@threebridgesforpsy.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 Colusa Ave",
            "city": "El Cerrito",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945303327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drstreet@threebridgesforpsy.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 Colusa Ave",
            "city": "El Cerrito",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945303327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JSD Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.