Provider Demographics
NPI:1427764596
Name:BGD PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:BGD PSYCHOLOGICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TAISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL-HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-250-2805
Mailing Address - Street 1:52 GOLF CLUB RD # 242
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1524
Mailing Address - Country:US
Mailing Address - Phone:510-250-2805
Mailing Address - Fax:
Practice Address - Street 1:745 KATYDID CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-2221
Practice Address - Country:US
Practice Address - Phone:510-250-2805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty