NPIMap

Organization Active NPI

Bridgman Psychological Partners PLC

  • Psychologist
  • Stevensville, MI
National Provider Identifier
1053589036
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301010904 Issued in MI
Legal business name
BRIDGMAN PSYCHOLOGICAL PARTNERS PLC
Practice address
7889 Red Arrow Hwy
Stevensville, MI 49127
Phone
(269) 465-4000
Fax
(269) 465-4001
NPI assigned
Feb 13, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Robert K McIntyre, LLP NCCNPI 1821207630
Title
Owner
Phone
(269) 465-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301010904 MI Primary
Clinical Social Worker 1041C0700X 6801071984 MI

Addresses

Primary practice location

7889 Red Arrow Hwy
Stevensville, MI 49127

Mailing address

7889 Red Arrow Hwy
Stevensville, MI 49127
Phone (269) 465-4000

National Provider Directory

National Provider Directory

Locations

7889 Red Arrow Hwy
Stevensville, MI 49127
Phone (269) 465-4000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1053589036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7889 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "49127",
            "telephone_number": "269-465-4000",
            "fax_number": "269-465-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7889 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "49127",
            "telephone_number": "269-465-4000",
            "fax_number": "269-465-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGMAN PSYCHOLOGICAL PARTNERS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-465-4000",
        "authorized_official_credential": "LLP NCC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010904",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.