Emerald Bridge Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMERALD BRIDGE WELLNESS PLLC

Practice address

24370 Redwing Ave
New Prague, MN 56071-8843

Phone

(651) 276-3708

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Al Berry

Title

Manager

Phone

(469) 915-4211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malinda Lynch, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Golden Valley, MN
  • NPI 1871141143
  NPD

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1730993049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE STE 300-334",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721438",
            "telephone_number": "612-238-8280",
            "fax_number": "612-238-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24370 REDWING AVE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560718843",
            "telephone_number": "651-276-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD BRIDGE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-915-4211"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in New Prague, MN
• Providers in New Prague, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.