Individual provider Active NPI

Bridget Leticia Banda, PSY.D., MS

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1508906280
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT154406 Issued in CA
Practice address
7200 Bancroft Ave Ste 125B
Oakland, CA 94605-2456
Phone
(510) 777-4240
NPI assigned
Feb 8, 2007
Reactivated
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Clinical Child & Adolescent Psychologist 103TC2200X
Professional Counselor 101YP2500X IMF42123 CA
Case Manager/Care Coordinator 171M00000X NA
Mental Health Counselor 101YM0800X AMFT154406 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 125B
Oakland, CA 94605-2456

Mailing address

325 Westlake Center
Daly City, CA 94015-1301

Other practice location 1

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335
Phone (415) 967-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AMFT154406CAMDMental Health Counselor
IMF42123CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County Behavioral Health Case Manager/Care Coordinator CurrentSince Nov 7, 2025 Accepting new patients

Locations

7200 Bancroft Ave
Ste 125B
Oakland, CA 94605
Phone (510) 777-4240

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1508906280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WESTLAKE CENTER",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052456",
            "telephone_number": "510-777-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Executive Park Blvd Ste 4900",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941343335",
            "country_code": "US",
            "telephone_number": "415-967-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDA",
        "first_name": "BRIDGET",
        "middle_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "deactivation_date": "2024-01-29",
        "reactivation_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "IMF42123",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT154406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2025; 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.