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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TH0100X | Psychologist, Health Service | – | – |
Practice location
858 S Barlow LnBishop, CA 93514-3144
Phone 760-920-6007
Mailing address
858 S Barlow LnBishop, CA 93514-3144
Phone 760-920-6007
Authorized official
Jacob Eide
Owner, Clinical Psychologist
2064077930
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