Bridge Psychiatric Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRIDGE PSYCHIATRIC CARE

Practice address

1311A Dolley Madison Blvd Ste 2F
MC Lean, VA 22101-3975

Phone

(202) 578-3272

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Zupancic, PMHNP-BC

Title

Owner

Phone

(202) 329-3928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1043772122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311A DOLLEY MADISON BLVD STE 2F",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013975",
            "telephone_number": "202-578-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311A DOLLEY MADISON BLVD STE 2F",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013975",
            "telephone_number": "202-578-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1948 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913304",
            "country_code": "US",
            "telephone_number": "202-329-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGE PSYCHIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "ZUPANCIC",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-329-3928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Brefczynski, OTR/L
• Sha-Nita Jones Brennan, MD
• Jennifer Lynn Breseman, FNP-BC
• Kaitlin Bresnahan
• Jessie Bricker, DPT
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• Lori Bristow, PH.D.
• Broadway Accounting and Payroll Services Inc
• James Alexander Bronson, DMD
• James Merritt Bronson, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.