Active NPI
Bridgeway Therapeutic Services Inc
- Adult Mental Health Clinic/Center
- Minneapolis, MN
National Provider Identifier
1659098903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BRIDGEWAY THERAPEUTIC SERVICES INC
- Practice address
- 1200 2ND Ave S FL LL
Minneapolis, MN 55403-2513 - Phone
- (612) 323-9492
- Fax
- (612) 314-8958
- NPI assigned
- Oct 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adna Mustafa Abukar
- Title
- President
- Phone
- (612) 323-9492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1200 2ND Ave S FL LL
Minneapolis, MN 55403-2513
Mailing address
1200 2ND Ave S FL LL
Minneapolis, MN 55403-2513
Phone (612) 323-9492
National Provider Directory
National Provider DirectoryLocations
1200 2nd Ave S
Fl Ll
Minneapolis, MN 55403
Phone (612) 323-9492
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Minneapolis, MN
- NPI 1104543529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666742400000",
"number": "1659098903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 2ND AVE S FL LL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032513",
"telephone_number": "612-323-9492",
"fax_number": "612-314-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 2ND AVE S FL LL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032513",
"telephone_number": "612-323-9492",
"fax_number": "612-314-8958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWAY THERAPEUTIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "ABUKAR",
"authorized_official_first_name": "ADNA",
"authorized_official_middle_name": "MUSTAFA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-323-9492"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.