Organization Active NPI

Bridges Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1285358564
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIDGES PSYCHIATRIC SERVICES LLC
Practice address
939 Office Park Rd Ste 310
West Des Moines, IA 50265-2538
Phone
(515) 771-7852
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Jennifer Melly
Title
Arnp, Pmhnp
Phone
(515) 771-7852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

939 Office Park Rd Ste 310
West Des Moines, IA 50265-2538

Mailing address

939 Office Park Rd Ste 310
West Des Moines, IA 50265-2538
Phone (515) 771-7852

Other practice location 1

10000 Coors Byp NW
Albuquerque, NM 87114-4040
Phone (515) 771-7852

Other names 1

  • Bridges Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

939 Office Park Rd
Ste 310
West Des Moines, IA 50265
Phone (515) 771-7852

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1285358564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD STE 310",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652538",
            "telephone_number": "515-771-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD STE 310",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652538",
            "telephone_number": "515-771-7852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Coors Byp NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871144040",
            "country_code": "US",
            "telephone_number": "515-771-7852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGES PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MELLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ARNP, PMHNP",
        "authorized_official_telephone_number": "515-771-7852"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridges Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.