BRIDGEWAY INC (NPI# 1851315535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851315535 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY INC |
| Practice Address |
2323 Windish Dr Galesburg IL 61401-9780 |
| Practice Telephone | 3093444200 |
| Practice Fax Number | 3093444281 |
| Mailing Telephone | 3093444200 |
| Mailing Fax Number | 3093442200 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | BILL NELSON (CEO) |
| Authorized Official Telephone | 3093444200 |
| Authorized Official Credential | LCPC LPHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers | |
| N | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians | |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians | |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
IL | Allopathic & Osteopathic Physicians | |
| N | 251S00000X | Community/Behavioral Health | IL | Agencies | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CERTIFIC/LICENSE | 001180005 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 137 E College St, Kewanee, IL 614433703 | 3098524331 | 3098540122 |
| 301 Industrial Park Rd, Monmouth, IL 614629794 | 3097349461 | 3097343909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861776213 | Bridgeway Inc | Counselor | 590 S Deer Rd, Macomb, IL 61455-2604 | 2011-10-04 |
| 1588948046 | Bridgeway Inc | Counselor | 310 Wylie Dr, Suite 464, Normal, IL 61761-5504 | 2011-10-03 |
| 1114140621 | Bridgeway Inc | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2007-04-11 |
| 1629319389 | Bridgeway Inc | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2013-03-06 |
| 1346524899 | Bridgeway Inc | Community/Behavioral Health | 2079 Edgewater Dr, Pekin, IL 61554 | 2011-10-03 |
| 1518185925 | Bridgeway Inc | Psychiatry & Neurology | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-23 |
| 1316160823 | Bridgeway Inc | Psychiatry & Neurology | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIDGEWAY INC | 620 W Grand, Ponca City, OK 74601-5123 |
| Iowa Business Entities | BRIDGEWAY INC | 2323 Windish Dr, Galesburg, IL 61401 |
| System for Award Management (SAM) Entities | BRIDGEWAY INC MCKINLEY APARTME | 501 N Grove St Ofc, Kewanee, IL 61443-2076 |
| Street Address |
2323 WINDISH DR |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741667 | Zoie Gilbertson | Licensed Practical Nurse | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2019-10-15 |
| 1114568078 | Brittany Schisler-davis | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2019-10-02 |
| 1215407366 | Denise Beall | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-12-03 |
| 1841769726 | Sherry Bartels | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1013486992 | Cheryl Majeske | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1285103150 | Jolene Rossell | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1942779806 | Sarah Bullock | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1568931434 | Katie Perrin | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1598234551 | Brad King | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1043789001 | Julie Safranek | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813842 | Grounded Perspectives, LLC | Clinic/Center | 311 E Main St Ste 205, Galesburg, IL 61401-4878 | 2019-04-03 |
| 1639499338 | Lutheran Social Services of Il | Clinic/Center | 167 N Kellogg St, Galesburg, IL 61401-4714 | 2010-06-03 |
| 1912175126 | Bridgeway, Inc | Clinic/Center | 2062 E 1st St, Galesburg, IL 61401-6498 | 2008-02-11 |
| 1003423773 | True2u Counseling | Clinic/Center | 10144 Castle Creek Cir, Galesburg, MI 49053-8642 | 2020-09-28 |
| 1659596260 | Bridgeway Incorporated | Clinic/Center | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2007-04-17 |
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| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.