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BRIDGEWAY BEHAVIORAL HEALTH LLC
NPI 1659039857
Nurse Practitioner - Psychiatric/Mental Health in Park Ridge, IL

Active since December 04, 2021
1440 RENAISSANCE DR STE 125, PARK RIDGE, IL 60068(847) 722-4901 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2022, Feb 26, 2022, Dec 4, 2021 (3 updates tracked since 2021).

About Bridgeway Behavioral Health Llc NPPES

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

BRIDGEWAY BEHAVIORAL HEALTH LLC (NPI 1659039857) is a healthcare organization registered as a psychiatric/mental health in Park Ridge, Illinois and active in the NPI registry since December 2021. The organization lists Irma Funes, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659039857
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBRIDGEWAY BEHAVIORAL HEALTH LLC
Location Address1440 RENAISSANCE DR STE 125Park Ridge, IL 60068-1414
Mailing Address5341 Carol StSkokie, IL 60077-2002 · (847) 722-4901
Phone(847) 722-4901
Organization SubpartNo
Authorized OfficialIrma FunesAuthorized Official · (847) 749-1104
Enumeration DateDecember 4, 2021
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1659039857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1440 RENAISSANCE DR STE 125, Park Ridge, IL 60068
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Other Identifiers 1

Medicaid1578817003IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NATHAN CASH LCPC
Counselor (Professional)
1440 RENAISSANCE DR STE 125
PARK RIDGE, IL 60068
Cook County (224) 585-3312
MS. CLAUDIA M NARVAEZ LCPC
Counselor (Mental Health)
1440 RENAISSANCE DR STE 125
PARK RIDGE, IL 60068
Cook County (224) 585-3312
MONICA E MUCIACCIA CHOVANEC
Psychologist (School)
1440 RENAISSANCE DR STE 125
PARK RIDGE, IL 60068
Cook County (224) 585-3312

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 Bridgeway Behavioral Health LLC's NPI number?

The NPI number for Bridgeway Behavioral Health LLC is 1659039857. It was assigned to this organization in the NPPES registry on December 4, 2021.

Where is Bridgeway Behavioral Health LLC located?

Bridgeway Behavioral Health LLC is located at 1440 Renaissance Dr Ste 125, Park Ridge, IL 60068. The listed phone number is (847) 722-4901.

What is Bridgeway Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bridgeway Behavioral Health LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.