VITA BRIDGE HEALTH LLC
NPI 1952104622
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ

Active since March 28, 2025
15150 W PARK PL FL 2, GOODYEAR, AZ 85395(480) 207-0296(480) 546-3290 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vita Bridge Health Llc NPPES

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

VITA BRIDGE HEALTH LLC (NPI 1952104622) is a healthcare organization registered as a psychiatric/mental health in Goodyear, Arizona and active in the NPI registry since March 2025. The organization lists Olajumoke Jongbo, Rn/pmhnp, as its authorized official.

NPPES Registry Identity

NPI1952104622
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVITA BRIDGE HEALTH LLC
Location Address15150 W PARK PL FL 2Goodyear, AZ 85395-2385
Mailing Address15150 W Park Pl Fl 2Goodyear, AZ 85395-2385 · (480) 207-0296
Fax(480) 546-3290
Organization SubpartNo
Authorized OfficialOlajumoke JongboRn/pmhnp · (480) 207-0296
Enumeration DateMarch 28, 2025
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1952104622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
15150 W PARK PL FL 2, Goodyear, AZ 85395

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Counselor (Mental Health)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Social Worker (Clinical)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Counselor (Professional)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Nurse Practitioner (Psychiatric/Mental Health)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Clinic/Center (Adult Mental Health)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Behavior Analyst
15150 W PARK PL FL 2
GOODYEAR, AZ 85395

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 Vita Bridge Health LLC's NPI number?

The NPI number for Vita Bridge Health LLC is 1952104622. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Vita Bridge Health LLC located?

Vita Bridge Health LLC is located at 15150 W Park Pl Fl 2, Goodyear, AZ 85395. The listed phone number is (480) 207-0296.

What is Vita Bridge 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 Vita Bridge Health LLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.