DR. BRIDGET LETICIA BANDA (NPI# 1508906280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508906280 |
| Entity Type | Individual |
| Full Name | DR. BRIDGET LETICIA BANDA |
| Credential | PSY.D., MS |
| Practice Address |
250 Executive Park Blvd Ste 4900 San Francisco CA 94134-3335 |
| Mailing Address |
325 Westlake Center Daly City CA 94015-1301 |
| Practice Telephone | 4159679500 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PSB33631 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
IMF42123 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
RPS2012062 | CA | Behavioral Health & Social Service Providers |
| Street Address |
250 EXECUTIVE PARK BLVD STE 4900 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94134-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899154 | Nicole Calvello | Marriage & Family Therapist | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2020-04-14 |
| 1093352700 | Kenneth Ray Simpson | Marriage & Family Therapist | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2019-12-02 |
| 1902442924 | Rachel Morris | Counselor | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2019-11-25 |
| 1942846894 | Paulina Ochoa | Community Health Worker | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2019-11-25 |
| 1760044655 | Alana Wolens | Counselor | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2019-07-01 |
| 1154882090 | Carol Olson | Social Worker | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2019-03-25 |
| 1427526755 | Tamara Reyes | Counselor | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2018-11-05 |
| 1194291153 | Alexandra Karagosian | Counselor | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2018-10-17 |
| 1497241863 | Whitney Green | Marriage & Family Therapist | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2018-07-09 |
| 1205320249 | Jessica Dean | Counselor | 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663990 | Maricela Medina Gonzalez | Counselor | Alternative Family Services, 250 Executive Park Blvd, San Francisco, CA 94134 | 2020-03-03 |
| 1245721562 | Jayla Linda Edwards | Behavioral Analyst | 1888 Geneva Ave Unit 714, San Francisco, CA 94134 | 2018-05-22 |
| 1104343201 | Moson Wong | Physical Therapy Assistant | 1526 Visitacion Ave, San Francisco, CA 94134 | 2017-08-29 |
| 1174908271 | Paola Christina Martins Johnson | Counselor | 250 Executive Park Blvd., Suite 4900, San Francisco, CA 94134 | 2015-07-30 |
| 1578900452 | Lydia Hui-ling Chan | Internal Medicine | 2674 San Bruno Avenue, San Francisco, CA 94134 | 2013-05-31 |
| 1285929034 | Alternative Family Services | Counselor | 2500 Executive Park Boulevard, San Francsico, CA 94134 | 2011-06-09 |
| 1497902647 | Aurora Concepcion | Community Based Residential Treatment Facility, Mental Illness | 1821 Silliman St., San Francisco, CA 94134 | 2008-08-19 |
| 1750503926 | Miriam Toveg | Acupuncturist | 1085 Valencia Streetsan Francisco, San Francisco, CA 94134 | 2007-05-03 |
| 1427272293 | James William Hopkins | Registered Nurse | 46 Wabash Terrace, San Francisco, CA 94134 | 2007-04-12 |
| 1669546677 | Philip Chow | Pediatrics | 2574 San Bruno Avenue, San Francisco, CA 94134 | 2006-11-20 |
| Find all providers in zip 94134 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790123818 | Casey Boehm Newland | Psychologist | 350 Brannan St Ste 200, San Francisco, CA 94107 | 2013-06-11 |
| 1760770192 | Mark Daniel Blackhurst | Psychologist | 439 Lombard St, San Francisco, CA 94133-2416 | 2011-07-19 |
| 1942455399 | Jonathan Edward French | Psychologist | 1500 20th St, San Francisco, CA 94107-2809 | 2008-11-27 |
| 1700437217 | Mary Ann Yaeil Kim | Psychologist | 465 California St Ste 630, San Francisco, CA 94104-1845 | 2019-09-25 |
| 1851596498 | Stephanie Denise Wilson | Psychologist | 2340 Clay St Fl 7, San Francisco, CA 94115-1932 | 2007-06-15 |
| 1760691349 | Roy L. Curry, A Professional Corporation | Psychologist | 1 Daniel Burnham Ct Ste 365-c, San Francisco, CA 94109-5490 | 2007-05-21 |
| 1518076272 | Roy L Curry | Psychologist | 1 Daniel Burnham Ct, Suite 365c, San Francisco, CA 94109-5455 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94134 |
Please comment or provide details below to improve the information on DR. BRIDGET LETICIA BANDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.