NPIMap

Organization Active NPI

The Bridge Health Clinics & Research Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1083932263
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS, INC.
Practice address
600 W Walnut St
Suite 33-R
Milwaukee, WI 53212-3863
Phone
(414) 831-4500
Fax
(414) 255-3451
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Todd C. Campbell, PHD
Title
President / Ceo
Phone
(414) 831-4500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 W Walnut St
Suite 33-R
Milwaukee, WI 53212-3863

Mailing address

2200 N Mayfair Rd
Suite 200
Wauwatosa, WI 53226-2252
Phone (414) 258-9511

Other identifiers 1

IdentifierTypeStateIssuer
100011207MedicaidWI

National Provider Directory

National Provider Directory

Locations

600 W Virginia St
Ste 203
Milwaukee, WI 53204

600 W Walnut St
Ste 33R
Milwaukee, WI 53212

728 N James Lovell St
#159
Milwaukee, WI 53233

600 W Walnut St
Ste 39
Milwaukee, WI 53212

5401 N 76th St
Ste 100
Milwaukee, WI 53218

9401 W Beloit Rd
#103105
Milwaukee, WI 53227

7235 W Appleton Ave
#102
Milwaukee, WI 53216

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1083932263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N MAYFAIR RD",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262252",
            "telephone_number": "414-258-9511",
            "fax_number": "414-607-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W WALNUT ST",
            "address_2": "SUITE 33-R",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123863",
            "telephone_number": "414-831-4500",
            "fax_number": "414-255-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "414-831-4500",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100011207",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.