Active NPI
Bridgeway Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galesburg, IL
National Provider Identifier
1851315535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BRIDGEWAY INC
- Practice address
- 2323 Windish Dr
Galesburg, IL 61401-9780 - Phone
- (309) 344-4200
- Fax
- (309) 344-4281
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Staci Danner, MBA
- Title
- Ceo
- Phone
- (309) 836-4108
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kewanee, IL
- NPI 1114140621
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monmouth, IL
- NPI 1316160823
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pekin, IL
- NPI 1346524899
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Macomb, IL
- NPI 1518185925
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Normal, IL
- NPI 1588948046
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kewanee, IL
- NPI 1023231537
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galesburg, IL
- NPI 1154545879
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galesburg, IL
- NPI 1194948695
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galesburg, IL
- NPI 1407079916
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kewanee, IL
- NPI 1578788188
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galesburg, IL
- NPI 1710100219
O20050126000609
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Macomb, IL
- NPI 1760505044
O20050126000609
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Galesburg, IL
- NPI 1205608577
IL
-
- Child & Adolescent Psychiatry Physician
- Peoria, IL
- NPI 1508834839
Child & Adolescent Psychiatry, IL
-
- Counselor
- Bloomington, IL
- NPI 1740607522
-
- Licensed Practical Nurse
- Monmouth, IL
- NPI 1710101167
Addiction (Substance Use Disorder)
-
- Registered Nurse
- Monmouth, IL
- NPI 1720202369
-
- Clinical Social Worker
- Moline, IL
- NPI 1932326816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050126000609 | IL | Part B Supplier - Clinic/Group Practice | 4284627530 |
Receives reassigned benefits from 9 practitioners 15 other NPIs on this enrollment Practice locations: Macomb, IL; Moline, IL; Monmouth, IL; Normal, IL; North Pekin, IL; Pekin, IL; Kewanee, IL; Loves Park, IL… |
National Provider Directory
National Provider DirectoryLocations
1105 Derek Lincoln Dr
West Burlington, IA 52655
Phone (319) 208-0894
219 E Euclid Ave
Monmouth, IL 61462
Phone (309) 734-9461
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | ||
| Family Medicine Physician | 207Q00000X | IL | ||
| Psychiatry Physician | 2084P0800X | IL | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | IL | ||
| Community/Behavioral Health Agency | 251S00000X | IL | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2323 Windish Dr
Galesburg, IL 61401-9780
Mailing address
2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323
Other practice location 1
137 E College St
Kewanee, IL 61443-3703
Phone (309) 852-4331
Other practice location 2
301 Industrial Park Rd
Monmouth, IL 61462-9794
Phone (309) 734-9461
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001180005 | Other | IL | CERTIFIC/LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2025.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766707200000",
"number": "1851315535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 WINDISH DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614019780",
"telephone_number": "309-344-2323",
"fax_number": "309-344-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 WINDISH DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614019780",
"telephone_number": "309-344-4200",
"fax_number": "309-344-4281"
}
],
"practiceLocations": [
{
"address_1": "137 E College St",
"address_purpose": "LOCATION",
"city": "Kewanee",
"state": "IL",
"postal_code": "614433703",
"country_code": "US",
"telephone_number": "309-852-4331",
"fax_number": "309-854-0122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Industrial Park Rd",
"address_purpose": "LOCATION",
"city": "Monmouth",
"state": "IL",
"postal_code": "614629794",
"country_code": "US",
"telephone_number": "309-734-9461",
"fax_number": "309-734-3909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIDGEWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A",
"authorized_official_last_name": "DANNER",
"authorized_official_first_name": "STACI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "309-836-4108",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIC/LICENSE",
"identifier": "001180005",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.