Bridgette Colwell Atallah, M.A.
NPI 1720373954ActiveIndividual· Psychologist, Clinical· San Clemente, CA
Opted out of Medicare from January 2020 to January 2028. Psychologist, Clinical (M.A.) in San Clemente, California, licensed in CA, with an NPI issued in June 2011.
Overview
| NPI | 1720373954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. |
| Sole proprietor | Yes |
| NPI issued | Jun 16, 2011 |
| Last updated in NPPES | Jan 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY 26225 | CA |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2020 – Jan 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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All 20 clinical psychologists in San Clemente · All clinical psychologists in California