Blackbridge Behavioral Health LLC

Primary specialty

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

Legal business name

BLACKBRIDGE BEHAVIORAL HEALTH LLC

Practice address

15811 W Cocopah St
Goodyear, AZ 85338-9413

Phone

(480) 912-0555

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Serah B Mukoko

Title

Owner/Administrator

Phone

(480) 912-0555

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1376456533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 W COCOPAH ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389413",
            "telephone_number": "480-912-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 W COCOPAH ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389413",
            "telephone_number": "480-912-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBRIDGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A",
        "authorized_official_last_name": "MUKOKO",
        "authorized_official_first_name": "SERAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-912-0555"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Bingaman, PHARM.D.
• Bio-Medical Applications of Arizona, LLC (Fresenius Medical Care Goodyear)
• Bio-Medical Applications of Arizona, LLC (FMC Dialysis Services Palm Valley)
• Biomechanix Physical Therapy, PLC
• Bismark Lake LLC
• Casey Marie Blaesing, OTR/L
• Randy Bland
• Randall J Blazic, DDS MD
• Blessing Care
• Alexander Bocchi, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.