Bright Tide Psychological Services
Clinic/Center, Adolescent and Children Mental Health in Pasadena, CA. Organization (NPI-2).
NPI number1518830231
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1518830231
- Entity type
- Organization (NPI-2)
- Legal business name
- Bright Tide Psychological Services
- Organization subpart
- No
- Enumeration date
- Sep 29, 2025
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
16 S Oakland Ave Ste 207Pasadena, CA 91101-5214
Phone 213-534-7123
Mailing address
16 S Oakland Ave Ste 207Pasadena, CA 91101-5214
Phone 213-534-7123
Authorized official
Brianna Marecki
Psychologist
2135347123
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