Individual provider Active NPI

Bridgette M Wiggers, PH.D

  • Clinical Child & Adolescent Psychologist
  • Twinsburg, OH
National Provider Identifier
1902053150
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6447 Issued in OH
Practice address
8819 Commons Blvd # 100
Twinsburg, OH 44087-2177
Phone
(330) 425-2212
Fax
(330) 425-2779
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6447 OH Primary

Addresses

Primary practice location

8819 Commons Blvd # 100
Twinsburg, OH 44087-2177

Mailing address

8819 Commons Blvd # 101
Twinsburg, OH 44087-2177
Phone (330) 425-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000688 OH Practitioner - Clinical Psychologist 6305982703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6447OHMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2020 Accepting new patients
University Hospitals Regional Practices LLC Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

8819 Commons Blvd
Ste 100
Twinsburg, OH 44087
Phone (330) 405-1500

8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500

Interoperability endpoints

  • Direct secure messaging: bwiggers48405@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1902053150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD # 101",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872177",
            "telephone_number": "330-425-2212",
            "fax_number": "330-425-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD # 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872177",
            "telephone_number": "330-425-2212",
            "fax_number": "330-425-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGERS",
        "first_name": "BRIDGETTE",
        "middle_name": "M",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.