NPIMap

Organization Active NPI

The Bridge Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Lincoln, NE
National Provider Identifier
1407999691
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE BRIDGE BEHAVIORAL HEALTH, INC.
Practice address
721 K St
Lincoln, NE 68508-2949
Phone
(402) 477-3951
Fax
(402) 477-3922
NPI assigned
Feb 15, 2007
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Tammy Stevenson
Title
Executive Director
Phone
(402) 477-3951

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Substance Abuse Rehabilitation Facility 324500000X SATC017 NE
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

721 K St
Lincoln, NE 68508-2949

Mailing address

721 K St
Lincoln, NE 68508-2949
Phone (402) 477-3951

Other identifiers 1

IdentifierTypeStateIssuer
10025684200MedicaidNE

Other names 1

  • Cornhusker Place of Lincoln-Lancaster County, Inc. Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2269212Bridge Behavioral Health, the721 K Street, Lincoln, NE 68508Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cornhusker Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

721 K St
Lincoln, NE 68508
Phone (402) 477-3951

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1407999691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082949",
            "telephone_number": "402-477-3951",
            "fax_number": "402-477-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 K ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082949",
            "telephone_number": "402-477-3951",
            "fax_number": "402-477-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-477-3951"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC017",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025684200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornhusker Place of Lincoln-Lancaster County, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cornhusker Place of Lincoln-Lancaster County, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.