Organization · NPI-2

Action Potential Psychological Services, INC.

Psychologist, Clinical · Bishop, CA

NPI number1740101823
StatusActive
Last updated in NPPESJul 23, 2026

Details

NPI
1740101823
Entity type
Organization (NPI-2)
Legal business name
Action Potential Psychological Services, INC.
Organization subpart
No
Enumeration date
Jul 23, 2026
Certification date
Jul 23, 2026
Last updated
Jul 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes
103T00000X Psychologist––
103TB0200X Psychologist, Cognitive & Behavioral––
103TC2200X Psychologist, Clinical Child & Adolescent––
103TH0100X Psychologist, Health Service––

Practice location

858 S Barlow Ln
Bishop, CA 93514-3144

Phone 760-920-6007

Mailing address

858 S Barlow Ln
Bishop, CA 93514-3144

Phone 760-920-6007

Authorized official

Jacob Eide
Owner, Clinical Psychologist
2064077930

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist, Clinical providers in Bishop, CA