| Bridges Family Therapy Inc | |
|
509 N Montgomery Street Ojai CA 93023 | |
| (805) 798-3150 | |
| (805) 232-3224 |
| Full Name | Bridges Family Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 509 N Montgomery Street, Ojai, California |
| Authorized Official Name and Position | Patricia Anderson (CEO) |
| Authorized Official Contact | 8057980739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Family Therapy Inc 226 W Ojai Ave., Suite 101-180 Ojai CA 93023-3277 Ph: (805) 798-3150 | Bridges Family Therapy Inc 509 N Montgomery Street Ojai CA 93023 Ph: (805) 798-3150 |
| NPI Number | 1609436534 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 0547673097 |
|---|---|
| Medicare Enrollment ID | O20201230002487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609436534 | NPI | - | NPPES |
| 1366081986 | Other | CA | LMFT |
| 1346876679 | Other | CA | LMFT |
| 1386011047 | Other | CA | LMFT |
| 1811469349 | Other | CA | LMFT |
| 1194264838 | Other | CA | LMFT |
| 1225343668 | Other | CA | LMFT |
| 1336207257 | Other | CA | LMFT |
| 1457821522 | Other | CA | LMFT |
| 1093901779 | Other | CA | LMFT |
| 1700038411 | Other | CA | LMFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Robin Dunyasha Balchen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043354533 PECOS PAC ID: 8921439068 Enrollment ID: I20200505003104 |
| Provider Name | Irais Leon-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497223986 PECOS PAC ID: 1951771203 Enrollment ID: I20221230001220 |
| Provider Name | Jennifer Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366081986 PECOS PAC ID: 3870937063 Enrollment ID: I20240215001871 |
| Provider Name | Monica M Zavala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700038411 PECOS PAC ID: 6800230780 Enrollment ID: I20240219003268 |
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