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BRIDGE TO BRIDGE PSYCHOTHERAPY GROUP
NPI 1639796402
Psychologist - Clinical in Corte Madera, CA

Active since June 28, 2020
21 TAMAL VISTA BLVD STE 225, CORTE MADERA, CA 94925(415) 233-7990 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Jun 28, 2024, Sep 20, 2021 and 1 more (4 updates tracked since 2020).

About Bridge To Bridge Psychotherapy Group NPPES

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

BRIDGE TO BRIDGE PSYCHOTHERAPY GROUP (NPI 1639796402) is a healthcare organization registered as a clinical in Corte Madera, California and active in the NPI registry since June 2020. The organization maintains 2 additional practice locations and lists Nicolas Chu, Co-director, as its authorized official.

NPPES Registry Identity

NPI1639796402
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBAY AREA MHC PSYCHOLOGY PC
Location Address21 TAMAL VISTA BLVD STE 225Corte Madera, CA 94925-1130
Mailing Address21 Tamal Vista Blvd Ste 225Corte Madera, CA 94925-1130 · (415) 233-7990
Phone(415) 233-7990
Organization SubpartNo
Authorized OfficialNicolas ChuCo-director · (415) 233-7990
Enumeration DateJune 28, 2020
Last NPPES UpdateJuly 1, 20244 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1639796402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
21 TAMAL VISTA BLVD STE 225, Corte Madera, CA 94925
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Other Names 1

Doing Business AsBridge To Bridge Psychotherapy Group

Secondary Practice Locations 2

Location 12481 Clay StSan Francisco, CA 94115-1893 · Phone (415) 870-1425
Location 230 5th StPetaluma, CA 94952-3042 · Phone (415) 233-7990

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ALEXIS CHRISTINE PETRAKIS PSY.D.
Psychologist (Clinical)
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (707) 216-1845
ERIN MICHELLE HISAE YIP PSYD
Psychologist (Clinical)
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (415) 289-9280
ALISSA C VANNET PSYD
Psychologist
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (415) 216-2167
NICOLAS CHU PSY.D.
Psychologist (Clinical)
21 TAMAL VISTA BLVD STE 225
CORTE MADERA, CA 94925
Marin County (415) 233-7990

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 Bay Area Mhc Psychology PC's NPI number?

The NPI number for Bay Area Mhc Psychology PC is 1639796402. It was assigned to this organization in the NPPES registry on June 28, 2020. The provider is doing business as Bridge To Bridge Psychotherapy Group.

Where is Bay Area Mhc Psychology PC located?

Bay Area Mhc Psychology PC is located at 21 Tamal Vista Blvd Ste 225, Corte Madera, CA 94925. The listed phone number is (415) 233-7990.

What is Bay Area Mhc Psychology PC'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 Bay Area Mhc Psychology PC was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.