Emerald Bridge Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMERALD BRIDGE WELLNESS PLLC

Practice address

14033 Commerce Ave NE Ste 300
Prior Lake, MN 55372-1515

Phone

(512) 763-7086

NPI assigned

Jun 5, 2024

Last updated

Mar 2, 2025By the provider in NPPES

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, and the practitioner matching its NPPES authorized official.

• 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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1861233421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE STE 300",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721515",
            "telephone_number": "512-763-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE STE 300",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721515",
            "telephone_number": "512-763-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD BRIDGE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "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": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Eastman
• Jay Allen Ebel, D.C.
• Lindsay J Ek, CRNA, RN, MSN, SRNA
• Elan Dental Arts, P.C.
• Hannah Ellenby, MSW, LICSW
• Enlightened Path Behavioral Health & Wellness, LLC.,
• Evergreen Real Estate Dev. Corp
• Cullen Fahey
• Fairview Clinics (Fairview Clinics-Prior Lake)
• Fairview Pharmacy Services LLC (Fairview Pharmacy Prior Lake)

• Psychiatric/Mental Health Nurse Practitioner in Prior Lake, MN
• Providers in Prior Lake, 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.