BRIDGE RESIDENTIAL LLC
NPI 1528822350
Psychiatric Residential Treatment Facility in Phoenix, AZ

NPI Status: Active since February 12, 2024

Contact Information

7011 S 30TH LN
PHOENIX, AZ
ZIP 85041
Phone: (602) 354-9252

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  • Psychiatric Residential Treatment Facili...

About BRIDGE RESIDENTIAL LLC

This page provides the complete NPI Profile along with additional information for Bridge Residential Llc, a provider established in Phoenix, Arizona operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1528822350 assigned on February 2024. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Bridge Residential Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Wildine Burgess (Exec Admin)

NPI
1528822350
Provider Name
BRIDGE RESIDENTIAL LLC
Entity Type
Organization
Location Address
7011 S 30TH LN PHOENIX, AZ 85041
Location Phone
(602) 354-9252
Mailing Address
PO BOX 51382 PHOENIX, AZ 85076
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2024
Last Update Date
02-12-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3103T00000XBehavioral Health & Social Service Providers

Psychologist

 
4103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
5103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 
6163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

 
72084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
8324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 
9343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
10363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILDINE BURGESS

Authorized Official Title
EXEC ADMIN
Authorized Official Phone
(602) 354-9252

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528822350, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 1 + 6 + 2 + 4 + 3 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1528822350.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528822350, enumerated as an "organization" on February 12, 2024.

The provider is located at 7011 S 30TH LN PHOENIX, AZ 85041 and the phone number is (602) 354-9252.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.