Bridgeway Psychological Associates LTD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

882-057 Issued in WI

Legal business name

BRIDGEWAY PSYCHOLOGICAL ASSOCIATES LTD.

Practice address

519 Midland CT
Suite 102
Janesville, WI 53546-2348

Phone

(608) 756-9090

Fax

(608) 756-2920

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie A Jacobs, PH.D.NPI 1386671485

Title

Owner

Phone

(608) 756-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Julie A Jacobs, PH.D.

  • Clinical Psychologist
  • Janesville, WI
  • NPI 1386671485
  NPD (past) Authorized official
• Neil B Gragg, Jr.

  • Clinical Social Worker
  • Janesville, WI
  • NPI 1407897242
  NPD (past)
• Sally McCoy, PH.D.

  • Clinical Psychologist
  • Janesville, WI
  • NPI 1881630010
  NPD (past)
• Richard Webb, MD

  • Psychiatry Physician
  • Cambridge, WI
  • NPI 1780609495
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154410595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MIDLAND CT",
            "address_2": "SUITE 102",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462348",
            "telephone_number": "608-756-9090",
            "fax_number": "608-756-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MIDLAND CT",
            "address_2": "SUITE 102",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462348",
            "telephone_number": "608-756-9090",
            "fax_number": "608-756-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY PSYCHOLOGICAL ASSOCIATES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-756-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "882-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Breyman, APSW
• Lisa A Brickler, OT
• David M Brickman, MD
• Andrew J Bridge, MD
• Karen L Bridge, DC
• Nancy A Briggs, LCSW, SAC
• Larissa Brigham, OD
• Lonnie Brigham II
• Alanna V. Briski, APRN
• Allyson Jade Brissette, LCSW

• Clinical Psychologist in Janesville, WI
• Providers in Janesville, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.