NPI 1740101823 · live from the CMS NPI Registry
Action Potential Psychological Services, INC.
Psychologist, Clinical in Bishop, CA. National Provider Identifier 1740101823, active.
NPI record
| NPI | 1740101823 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 858 S Barlow Ln, Bishop, CA 93514 |
| Practice phone | 760-920-6007 |
| Enumerated | July 23, 2026 |
| Last updated | July 23, 2026 |
| Authorized official | Jacob Eide, Owner, Clinical Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical primary | 103TC0700X | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Psychologist, Health Service | 103TH0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.