BRIDGEWAY INC (NPI# 1861776213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861776213 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY INC |
| Practice Address |
590 S Deer Rd Macomb IL 61455-2604 |
| Mailing Address |
590 S Deer Rd Macomb IL 61455-2639 |
| Practice Telephone | 3098374876 |
| Practice Fax Number | 3098331531 |
| Mailing Telephone | 3098369910 |
| Mailing Fax Number | 3098363422 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | STACI DANNER (BILLING MANAGER) |
| Authorized Official Telephone | 3093442323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 04016 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
04016 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
04016 | IL | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 04016 | IL | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | 04016 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MENTAL HEALTH MEDICAID CERTIFICATE | 04016 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1851315535 | Bridgeway Inc | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2006-07-27 |
| 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 |
590 S DEER RD |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497883979 | Matthew Shane Owens | Community/Behavioral Health | 19705 Vine Dr, Macomb, MI 48044-6518 | 2007-02-28 |
| 1871634907 | Linda Marie Audia | Community/Behavioral Health | 22376 Sandalwood Dr, Macomb, MI 48044-3072 | 2007-02-10 |
| 1669823894 | Radiant Counseling Services, Pllc | Community/Behavioral Health | 15869 Spur Dr, Macomb, MI 48042-2214 | 2016-06-29 |
| 1487806436 | Western Illinois University | Community/Behavioral Health | 1 University Cir, Macomb, IL 61455-1367 | 2008-10-21 |
| 1982827499 | Bridgeway, Inc | Community/Behavioral Health | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRIDGEWAY INC.
| 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.