Bridgeway Psychiatric Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIDGEWAY PSYCHIATRIC CENTER, INC.

Practice address

3451 5TH Ave
Suite a
Lake Charles, LA 70607-2127

Phone

(337) 562-0211

Fax

(337) 562-0212

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Anne Dill, R.N.

Title

Regional Director

Phone

(337) 785-8003

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ehtesham U Syed, M.D.

  • Psychiatry Physician
  • West Hills, CA
  • NPI 1326020330
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1366433278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 5TH AVE",
            "address_2": "SUITE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072127",
            "telephone_number": "337-562-0211",
            "fax_number": "337-562-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 5TH AVE",
            "address_2": "SUITE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072127",
            "telephone_number": "337-562-0211",
            "fax_number": "337-562-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY PSYCHIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "337-785-8003",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "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": "1152013",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61404",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Breaux
• Tamara Prince Breaux, PHARMD
• Annalise R Bricca, MD
• Koni Breaux Bridges, LCSW
• Bridgeway Psychiatric Center, Inc.
• Bright Start Behavioral Services
• Brighter Days Counseling Services, LLC
• Brighttrail Transit II, LLC
• Agnes F Briles, PHARM D
• Brite ABA Therapy

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.