Dr Bridget Mary Wieckowski, PSYD is a
Psychologist based in San Jose, California. Dr Bridget Mary Wieckowski is licensed to practice in California (license number PSY31996) and her current practice location is
1101 S Winchester Blvd Ste J205, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 680-4114.
NPI number for Dr Bridget Mary Wieckowski is 1366818577 and her current mailing address is 1101 S Winchester Blvd Ste J205, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366818577.
Healthcare Provider's Profile
| Full Name | Dr Bridget Mary Wieckowski |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1101 S Winchester Blvd Ste J205, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366818577
- Provider Enumeration Date: 08/11/2015
- Last Update Date: 10/13/2020
Medical Identifiers
Medical identifiers for Dr Bridget Mary Wieckowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366818577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY31996 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bridget Mary Wieckowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bridget Mary Wieckowski, PSYD
1101 S Winchester Blvd Ste J205,
San Jose, CA 95128-3918
Ph: (408) 680-4114 | Dr Bridget Mary Wieckowski, PSYD
1101 S Winchester Blvd Ste J205,
San Jose, CA 95128-3918
Ph: (408) 680-4114 |
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