BRIDGET KATHLEEN CLEARY PMHNP-BC NPI 1053691790

NPI Information

  • NPI: 1053691790
  • Provider Name: BRIDGET KATHLEEN CLEARY, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12215 TELEGRAPH RD STE 107
    SANTA FE SPRINGS, CA
    ZIP 90670
  • Phone: (925) 282-1778

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NPI Details

Bridget Kathleen Cleary, PMHNP-BC is a psychiatric/mental health nurse practitioner in Santa Fe Springs, CA. Bridget Kathleen Cleary, PMHNP-BC NPI is 1053691790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12215 TELEGRAPH RD STE 107
SANTA FE SPRINGS, CA
ZIP 90670-344
Phone: (925) 282-1778
Fax: (415) 296-5299

The NPI 1053691790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2011 and was last updated on 4/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95000382CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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