NPIMap

Organization Active NPI

Wellness Company VII

  • Clinical Psychologist
  • Nevada, MO
National Provider Identifier
1659625937
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1999140492 Issued in MO
Legal business name
WELLNESS COMPANY VII
Practice address
1819 W Austin Blvd Ste C
Nevada, MO 64772-3708
Phone
(417) 283-6151
Fax
(417) 283-6152
NPI assigned
Nov 7, 2012
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Patricia E Bridgewater, PSY.D.NPI 1356426308
Title
Licensed Psychologist
Phone
(417) 549-0572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1999140492 MO Primary

Addresses

Primary practice location

1819 W Austin Blvd Ste C
Nevada, MO 64772-3708

Mailing address

1819 W Austin Blvd Ste C
Nevada, MO 64772-3708
Phone (417) 283-6151

Other names 1

  • Tricia Bridgewater Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1659625937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W AUSTIN BLVD STE C",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723708",
            "telephone_number": "417-283-6151",
            "fax_number": "417-283-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W AUSTIN BLVD STE C",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723708",
            "telephone_number": "417-283-6151",
            "fax_number": "417-283-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMPANY VII",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-549-0572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "1999140492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricia Bridgewater",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.