Bridges Behavioral Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGES BEHAVIORAL WELLNESS LLC

Practice address

2746 N Florida Ave
Tampa, FL 33602-1522

Phone

(813) 498-4301

NPI assigned

Aug 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Diana Ginns, PHD, BCBA-DNPI 1871940387

Title

Owner/Provider

Phone

(813) 498-4301

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Ginns, PHD

  • Clinical Child & Adolescent Psychologist
  • Tampa, FL
  • NPI 1871940387
  NPD Authorized official

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1285281899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E GIDDENS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032422",
            "telephone_number": "714-350-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021522",
            "telephone_number": "813-498-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES BEHAVIORAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "GINNS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "813-498-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "2746 N Florida Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336021522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather C Bridge, PA
• Jana Bridge
• Michelle Bridge, LCSW
• Bridgeconnect Psychiatry PLLC
• Jennifer Ashley Bridges Barr, CRNA
• Bridges Nursing and Rehabilitation LLC
• Emma Bridges
• Micah Lynn Bridges
• Micahia Bridges
• Bridging the Gap Therapy Solutions

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.