DR. BRIDGET MARY WIECKOWSKI PSYD
NPI 1366818577
Psychologist in San Jose, CA

Active since August 11, 2015
1101 S WINCHESTER BLVD STE J205, SAN JOSE, CA 95128(408) 680-4114 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bridget Mary Wieckowski Psyd NPPES

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

DR. BRIDGET MARY WIECKOWSKI PSYD (NPI 1366818577) is an individual psychologist in San Jose, California, licensed in California (PSY31996) and active in the NPI registry since August 2015. She maintains a secondary practice location in San Leandro.

NPPES Registry Identity

NPI1366818577
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRIDGET MARY WIECKOWSKICredential: PSYD
Location Address1101 S WINCHESTER BLVD STE J205San Jose, CA 95128-3918
Mailing Address1101 S Winchester Blvd Ste J205San Jose, CA 95128-3918 · (408) 680-4114
Sole ProprietorNo
Enumeration DateAugust 11, 2015
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
NPI 1366818577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY31996
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.
Also ListedCounselorTaxonomy 101Y00000X
1101 S WINCHESTER BLVD STE J205, San Jose, CA 95128

Secondary Practice Location 1

Location 12275 Arlington DrSan Leandro, CA 94578-1132 · Phone (510) 317-1444

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
1101 S WINCHESTER BLVD STE J205
SAN JOSE, CA 95128
Counselor (Mental Health)
1101 S WINCHESTER BLVD STE J205
SAN JOSE, CA 95128
Marriage & Family Therapist
1101 S WINCHESTER BLVD STE J205
SAN JOSE, CA 95128
Social Worker (Clinical)
1101 S WINCHESTER BLVD STE J205
SAN JOSE, CA 95128
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1101 S WINCHESTER BLVD STE J205
SAN JOSE, CA 95128
Clinic/Center (Health Service)
1101 S WINCHESTER BLVD STE J205
SAN JOSE, CA 95128

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 Bridget Wieckowski's NPI number?

The NPI number for Bridget Wieckowski is 1366818577. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Bridget Wieckowski located?

Bridget Wieckowski practices at 1101 S Winchester Blvd Ste J205, San Jose, CA 95128. The listed phone number is (408) 680-4114.

What is Bridget Wieckowski's specialty?

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

When was this NPI record last updated?

The NPPES record for Bridget Wieckowski was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.