Veronica Bridges, MS,CSAYC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

350868123 Issued in IN

Practice address

1525 N Ritter Ave
Indianapolis, IN 46219-3026

Phone

(317) 322-4094

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1366747685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SHORELAND DR APT C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293309",
            "telephone_number": "317-414-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N RITTER AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193026",
            "telephone_number": "317-322-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "VERONICA",
        "credential": "MS,CSAYC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IN",
            "license": "350868123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Bridges
• Landon Bridges, LAT, ATC
• Michael Bridges
• Shannon Bridges
• Troy Bridges, LCSW
• Aja Bridgewater, LCSW
• Bryce Bridgewater, DO
• Jacqualine Bridgewater, NP
• Nedra Eleana Bridgewaters, RN
• Bridgeway LLC

• Psychiatric Residential Treatment Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.