Organization Active NPI

Bridges of the Mind Psychological Services, Inc.

  • Psychologist
  • West Sacramento, CA
National Provider Identifier
1679127187
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BRIDGES OF THE MIND PSYCHOLOGICAL SERVICES, INC.
Practice address
1550 Harbor Blvd Ste 206
West Sacramento, CA 95691-3828
Phone
(530) 302-5791
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dr. Erika Frieze, PSY.D.NPI 1134312952
Title
Clinical Psychologist/Owner
Phone
(530) 302-5791

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1550 Harbor Blvd Ste 206
West Sacramento, CA 95691-3828

Mailing address

2101 Stone Blvd Ste 175
West Sacramento, CA 95691-4055

Other identifiers 2

IdentifierTypeStateIssuer
1134312952MedicaidCA
1679127187OtherCANPI2

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL erika@bridgesofthemind.com Direct

National Provider Directory

National Provider Directory

Locations

1550 Harbor Blvd
Ste 206
West Sacramento, CA 95691
Phone (530) 302-5791

2101 Stone Blvd
Ste 175
West Sacramento, CA 95691
Phone (916) 425-7733

Practitioners & affiliated clinicians

Practitioners 2

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": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1679127187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD STE 175",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HARBOR BLVD STE 206",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913828",
            "telephone_number": "530-302-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF THE MIND PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "FRIEZE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "530-302-5791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134312952",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1679127187",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "erika@bridgesofthemind.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1550 Harbor Blvd Ste 206",
            "city": "West Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956913828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.