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DR. JESSICA BULALA LUIZ PSY.D.
NPI 1104106392
Psychologist - Clinical in Oakland, CA

Active since August 19, 2011
440 GRAND AVE STE 450, OAKLAND, CA 94610(410) 456-5773 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2020, Oct 2, 2018, Aug 2, 2018 (3 updates tracked since 2018).

About Dr. Jessica Bulala Luiz Psy.d. NPPES

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

DR. JESSICA BULALA LUIZ PSY.D. (NPI 1104106392) is an individual clinical provider in Oakland, California, licensed in California (26902) and active in the NPI registry since August 2011. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104106392
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA BULALA LUIZCredential: PSY.D.
Location Address440 GRAND AVE STE 450Oakland, CA 94610-5062
Mailing Address440 Grand Ave Ste 450Oakland, CA 94610-5062 · (410) 456-5773
Phone(410) 456-5773
Sole ProprietorYes
Enumeration DateAugust 19, 2011
Last NPPES UpdateMay 18, 20203 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1104106392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 26902
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License PSY26902 (CA)
440 GRAND AVE STE 450, Oakland, CA 94610
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Other Names 1

Former Name (1)Jessica Marie Bulala M.a.

Secondary Practice Locations 3

Location 15665 College Ave, Suite 240DOakland, CA 94618 · Phone (410) 456-5773
Location 2250 Bon Air RdGreenbrae, CA 94904-1702 · Phone (415) 473-6830
Location 35661 Keith Ave Ste 203Oakland, CA 94618 · Phone (410) 456-5773

Other Identifiers 1

Medicaid178548CA

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 Luiz's NPI number?

The NPI number for Jessica Luiz is 1104106392. It was assigned to this individual provider in the NPPES registry on August 19, 2011. The provider is also known as Jessica Marie Bulala M.A..

Where is Jessica Luiz located?

Jessica Luiz practices at 440 Grand Ave Ste 450, Oakland, CA 94610. The listed phone number is (410) 456-5773.

What is Jessica Luiz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jessica Luiz was last updated on May 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.