Active NPI
Girija Menon, DNP, PMHNP-BC
- Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP5325
- Practice address
- Community Bridges Inc
1855 W Baseline Rd Ste 101
Mesa, AZ 85202 - Phone
- (480) 831-7566
- Fax
- (480) 775-2466
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP5325 | AZ | Primary |
Addresses
Primary practice location
Community Bridges Inc
1855 W Baseline Rd Ste 101
Mesa, AZ 85202
Mailing address
Community Bridges Inc
1855 W Baseline Rd Ste 101
Mesa, AZ 85202
Phone (480) 831-7566
Other names 1
- Girija Menon Radhamaniamma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
358 E Javelina Ave
Suite 101
Mesa, AZ 85210-6205
Phone (480) 507-3180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5325 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Bridges, Inc | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients | |
| Community Bridges, Inc. | Past | Accepting new patients |
Locations
824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247
358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180
1855 W Baseline Rd
Ste 101
Mesa, AZ 85202
358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180
2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999
250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312
250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212
2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863
3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335
Interoperability endpoints
- girija.radhamaniammanp.p1@direct.cbridges.nextgenshare.com
Organizations & group practices 7
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.
-
- Adult Mental Health Clinic/Center
- Page, AZ
- NPI 1558095315
-
- Mental Illness Community Based Residential Treatment Facility
- Yuma, AZ
- NPI 1861722175
-
- Clinic/Center
- Phoenix, AZ
- NPI 1235849993
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1427596196
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1588348775
-
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
- NPI 1417320961
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1508124488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1215359377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMUNITY BRIDGES INC",
"address_2": "1855 W BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-831-7566",
"fax_number": "480-775-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMUNITY BRIDGES INC",
"address_2": "1855 W BASELINE RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-831-7566",
"fax_number": "480-775-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "GIRIJA",
"name_prefix": "Mrs.",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP5325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GIRIJA",
"last_name": "RADHAMANIAMMA",
"middle_name": "MENON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.