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

Active since February 12, 2024
7011 S 30TH LN, PHOENIX, AZ 85041(602) 354-9252 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridge Residential Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE RESIDENTIAL LLC (NPI 1528822350) is a healthcare organization registered as a psychiatric residential treatment facility in Phoenix, Arizona and active in the NPI registry since February 2024. The organization lists Wildine Burgess, Exec Admin, as its authorized official.

NPPES Registry Identity

NPI1528822350
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameBRIDGE RESIDENTIAL LLC
Location Address7011 S 30TH LNPhoenix, AZ 85041-9313
Mailing AddressPo Box 51382Phoenix, AZ 85076-1382
Organization SubpartNo
Authorized OfficialWildine BurgessExec Admin · (602) 354-9252
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1528822350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
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
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
7011 S 30TH LN, Phoenix, AZ 85041

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Residential LLC's NPI number?

The NPI number for Bridge Residential LLC is 1528822350. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Bridge Residential LLC located?

Bridge Residential LLC is located at 7011 S 30th Ln, Phoenix, AZ 85041. The listed phone number is (602) 354-9252.

What is Bridge Residential LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Bridge Residential LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.