DR. BRIDGID MARIKO CONN PH.D.
NPI 1790180321
Psychologist - Clinical Child & Adolescent in Los Angeles, CA
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
About BRIDGID CONN
This page provides the complete NPI Profile along with additional information for Bridgid Conn, a provider established in Los Angeles, California with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1790180321 assigned on October 2014. The practitioner's primary taxonomy code is 103TC2200X with license number 27641 (CA). The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1790180321 Verify this NPI
- Provider Name
- DR. BRIDGID MARIKO CONN PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4650 W SUNSET BLVD MS #53 LOS ANGELES, CA 90027
- Location Phone
- (323) 361-2350
- Mailing Address
- 4650 W SUNSET BLVD MAILSTOP #53 LOS ANGELES, CA 90027
- Mailing Phone
- (323) 361-3849
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2014
- Last Update Date
- 06-18-2026
- Code Navigator
Location Map
Secondary Locations
- 1919 E Thomas Rd
Phoenix, AZ 85016
(602) 933-0414
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 27641
- License State
- CA
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | PSY006063 (AZ) |
Medicare Participation & PECOS Enrollment Status
Bridgid Conn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790180321, enumerated as an "individual" on October 24, 2014.
The provider is located at 4650 W SUNSET BLVD MS #53 LOS ANGELES, CA 90027 and the phone number is (323) 361-2350.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.