Healthcare Provider Details

I. General information

NPI: 1588092209
Provider Name (Legal Business Name): JAMES BAKST M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES E. LISTON III M.A.

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1957 PARKSIDE DR STE 200
CONCORD CA
94519-2525
US

IV. Provider business mailing address

1957 PARKSIDE DR STE 200
CONCORD CA
94519-2525
US

V. Phone/Fax

Practice location:
  • Phone: 925-332-5246
  • Fax: 925-887-8564
Mailing address:
  • Phone: 925-332-5246
  • Fax: 925-887-8564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number36639
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number36639
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: