BRIDGETTE J PETEET (NPI# 1740572965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740572965 |
| Entity Type | Individual |
| Full Name | BRIDGETTE J PETEET |
| Other Name | BRIDGETTE J MITCHELL |
| Credential | PHD |
| Practice Address |
11130 Anderson St Loma Linda CA 92350-1729 |
| Practice Telephone | 9095588717 |
| Mailing Telephone | 9095588717 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
31726 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6300 | OH | Behavioral Health & Social Service Providers |
| Street Address |
11130 ANDERSON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487603924 | Faculty Physicians and Surgeons of Llusm | Psychologist | 11130 Anderson St, Suite 117, Loma Linda, CA 92354-2802 | 2006-05-10 |
| 1508421645 | Bianca Lizett Avila | Dietitian, Registered | 11130 Anderson St, Loma Linda, CA 92350-1729 | 2019-05-03 |
| 1851746382 | Jerry Slater | Student in an Organized Health Care Education/Training Program | 11130 Anderson St, Loma Linda, CA 92350-1729 | 2016-05-03 |
| 1639497944 | Adam Lapree Arechiga | Psychologist | 11130 Anderson St, Loma Linda, CA 92354-2802 | 2010-05-11 |
| 1154401552 | Louis Jenkins | Psychologist | 11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 | 2006-10-17 |
| 1124139399 | David A Vermeersch | Psychologist | 11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 | 2006-08-31 |
| 1235240490 | Kendal C Boyd | Psychologist | 11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378458 | Lorraine Joy Abaro Thomas | Psychologist | 24604 University Ave, Loma Linda, CA 92354-2724 | 2018-12-21 |
| 1659399632 | Paul J. Custer | Psychologist | Va Loma Linda Healthcare System # 116a, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-07-17 |
| 1366485807 | Michael A. Goldstein | Psychologist | Pettis Memorial Vamc, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-06-13 |
| 1780623983 | Juliet W Hung | Psychologist | Va Loma Linda, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-06-05 |
| 1467405902 | Joshua Macpherson Buley | Psychologist | Loma Linda Va Medical Center, 116a, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-05-18 |
| 1952824427 | Beth Meyer-bulley | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2017-07-17 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1407223357 | May Kim | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-08-26 |
| 1003294703 | Krystal Gregg | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-05-13 |
| 1659765691 | Christina Wei | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-03-27 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on BRIDGETTE J PETEET.
| 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.