Healthcare Provider Details

I. General information

NPI: 1912193111
Provider Name (Legal Business Name): CAROLE BEDROSIAN MCGREGOR PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 MANDANA BLVD #7
OAKLAND CA
94610
US

IV. Provider business mailing address

7580 CANYON MEADOW CIRCLE UNIT D
PLEASANTON CA
94588
US

V. Phone/Fax

Practice location:
  • Phone: 510-375-9625
  • Fax:
Mailing address:
  • Phone: 510-375-9625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN267125
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number267125
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY33200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: