Individual provider Active NPI

Bridget Henry, PHD

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1083276760
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-005384 Issued in AZ
Practice address
8825 N 23Rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone
(480) 809-9776
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-005384 AZ Primary

Addresses

Primary practice location

8825 N 23Rd Ave Ste 100
Phoenix, AZ 85021-4148

Mailing address

PO Box 31671
Phoenix, AZ 85046-1671
Phone (813) 300-6176

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drbridgethenry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 13, 2022 through Oct 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-005384AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocd Institute Houston, LLC. PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1083276760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31671",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850461671",
            "telephone_number": "813-300-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 N 23RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214148",
            "telephone_number": "480-809-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRIDGET",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drbridgethenry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8825 N 23rd Ave Ste 100",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850214148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.