Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA MORGAN BACH
NPI 1083275010
Psychologist in Oakland, CA

Active since June 20, 2019PECOS Enrolled
1315 FRUITVALE AVE, OAKLAND, CA 94601(510) 881-5921(510) 291-9591 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2020, Jun 20, 2019 (2 updates tracked since 2019).

About Jessica Morgan Bach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MORGAN BACH (NPI 1083275010) is an individual psychologist in Oakland, California, licensed in California (36492) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Concord, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083275010
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA MORGAN BACH
Location Address1315 FRUITVALE AVEOakland, CA 94601-2927
Mailing Address2425 Bisso Ln Ste 200Concord, CA 94520-4886 · (925) 521-5726
Fax(510) 291-9591
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 20, 2019
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1083275010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 36492
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1315 FRUITVALE AVE, Oakland, CA 94601

Secondary Practice Location 1

Location 12425 Bisso Ln Ste 200Concord, CA 94520-4886 · Phone (925) 521-5726

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Morgan Bach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345716833
PECOS Enrollment IDI20260421004224
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601
Counselor (Addiction (Substance Use Disorder))
1315 FRUITVALE AVE
OAKLAND, CA 94601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bach's NPI number?

The NPI number for Jessica Bach is 1083275010. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Jessica Bach located?

Jessica Bach practices at 1315 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 881-5921.

What is Jessica Bach's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Bach enrolled in Medicare?

Yes. Jessica Bach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bach was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.