BRIDGEWAY, INC (NPI# 1982827499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982827499 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY, INC |
| Other Organization Name | HENDERSON COUNTY OUTPATIENT |
| Practice Address |
900 S Deer Rd Macomb IL 61455-2639 |
| Practice Telephone | 3098374876 |
| Mailing Telephone | 3098374876 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JIM STARNES (CEO) |
| Authorized Official Telephone | 3098374876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | =========027 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| HENDERSON COUNTY OUTPATIENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1912175126 | Bridgeway, Inc | Clinic/Center | 2062 E 1st St, Galesburg, IL 61401-6498 | 2008-02-11 |
| 1578788188 | Bridgeway, Inc | Counselor | 1220 W Division St, Kewanee, IL 61443-3390 | 2007-04-17 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1881817385 | Bridgeway, Inc | Intermediate Care Facility, Mentally Retarded | 7 Pollock Dr, Macomb, IL 61455-1216 | 2007-04-11 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1124241625 | Bridgeway, Inc | Intermediate Care Facility, Mentally Retarded | 301 W Calhoun St, Macomb, IL 61455-2154 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BRIDGEWAY, INC. | Peter C. Herbst Esq, 355 Prospect St, Torrington, CT 06790 |
| New York State Corporations | BRIDGEWAY, INC. | Charles G Overby II, 26 Foch St, Sayreville, Nj 088721984 |
| Street Address |
900 S DEER RD |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396867420 | John Robert Prain | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-06 |
| 1104394295 | Aimee Anderson | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2018-11-06 |
| 1902385222 | Crystal D Stimpson | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2018-08-08 |
| 1588032460 | Illinois Medicaid-substance Abuse Macomb | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2015-09-09 |
| 1457625592 | Amanda Michele Bolte | Counselor | 900 S Deer Rd, Macomb, IL 61455-2639 | 2012-03-07 |
| 1821217084 | Kathleen E Markey | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-25 |
| 1518185925 | Bridgeway Inc | Psychiatry & Neurology | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-23 |
| 1629292156 | Rachelle D Mccoy | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-13 |
| 1629292123 | Dorothy J Loop | Registered Nurse | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-13 |
| 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 |
| 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 | ||||
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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.