Bridges to Wellness

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRIDGES TO WELLNESS

Practice address

10540 S Western Ave Ste 504
Chicago, IL 60643-2500

Phone

(773) 454-8014

NPI assigned

Aug 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shenay Nicole Bridges-Carter, PHD

Title

Owner

Phone

(773) 454-8014

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shenay Nicole Bridges, PH.D.

  • Counseling Psychologist
  • Chicago, IL
  • NPI 1962705509
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1023891520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 S ADA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203817",
            "telephone_number": "773-454-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432500",
            "telephone_number": "773-454-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "BRIDGES-CARTER",
        "authorized_official_first_name": "SHENAY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-454-8014",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeport Physical Wellness LLC
• Bridgeport Smiles
• Bridgeport Surgicenter, Inc
• Bridges Academy, LLC
• Bridges LLC (Bridges Sober Living)
• Danielle Bridges
• Katie Hunt Bridges, DMD
• Shenay Nicole Bridges, PH.D.
• Bridgette Love
• Bridgewrights LLC

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.