BRIDGETTE COLWELL ATALLAH M.A.
NPI 1720373954
Psychologist - Clinical in San Clemente, CA
About Bridgette Colwell Atallah M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGETTE COLWELL ATALLAH M.A. (NPI 1720373954) is an individual clinical provider in San Clemente, California, licensed in California (PSY 26225) and active in the NPI registry since June 2011. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Bridgette Colwell Atallah M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92673 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN CLEMENTE, CA 92673
SAN CLEMENTE, CA 92673
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 Bridgette Atallah's NPI number?
The NPI number for Bridgette Atallah is 1720373954. It was assigned to this individual provider in the NPPES registry on June 16, 2011. The provider is also known as Bridgette Susan Colwell.
Where is Bridgette Atallah located?
Bridgette Atallah practices at 629 Camino De Los Mares Ste 207A, San Clemente, CA 92673. The listed phone number is (949) 228-9080.
What is Bridgette Atallah's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Bridgette Atallah enrolled in Medicare?
No. Bridgette Atallah has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Bridgette Atallah was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Bridgette Colwell Atallah, M.A. · NPI 1720373954
Clinical provider in San Clemente, California. Individual provider, active in the CMS NPPES registry since June 16, 2011.
## Identity
- **NPI:** 1720373954 (Entity type: Individual)
- **Enumerated:** June 16, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY 26225 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 629 CAMINO DE LOS MARES, STE 207A, San Clemente, CA 92673-2832
- **Phone:** (949) 228-9080 · **Fax:** (844) 602-4623
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1720373954) · Data from the CMS NPPES public registry.