NPIMap

Organization Active NPI

Bridges of West Michigan PLLC

  • Professional Counselor
  • Cadillac, MI
National Provider Identifier
1871802363
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401002628 Issued in MI
Legal business name
BRIDGES OF WEST MICHIGAN PLLC
Practice address
2721 Sunnyside Dr
Cadillac, MI 49601-8748
Phone
(231) 468-2550
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dennis Chitwood, LLPNPI 1326155151
Title
Owner/Psychologist
Phone
(231) 468-2550

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401002628 MI Primary
Professional Counselor 101YP2500X 6401004741 MI
Clinical Psychologist 103TC0700X 6301009040 MI
Clinical Social Worker 1041C0700X 6801060067 MI

Addresses

Primary practice location

2721 Sunnyside Dr
Cadillac, MI 49601-8748

Mailing address

2721 Sunnyside Dr
Cadillac, MI 49601-8748
Phone (231) 468-2550

National Provider Directory

National Provider Directory

Locations

107 N Mitchell St
Cadillac, MI 49601
Phone (231) 468-2550

2721 Sunnyside Dr
Cadillac, MI 49601
Phone (231) 468-2550

Practitioners & affiliated clinicians

Practitioners 6

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": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1871802363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018748",
            "telephone_number": "231-468-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018748",
            "telephone_number": "231-468-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF WEST MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "CHITWOOD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "231-468-2550",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002628",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401004741",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009040",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.