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Black Foundation

NPI 1376848572ActiveOrganization· Psychologist· Los Angeles, CA

Psychologist in Los Angeles, California, registered in NPPES in January 2011. The authorized official on file is Robert Bridges, Ceo.

Overview

NPI1376848572
StatusActive
Entity typeOrganization
NPI issuedJan 19, 2011
Last updated in NPPESJan 19, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XADP190249ANCA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Los Angeles

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