Shenay Nicole Bridges, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

071008013 Issued in IL

Practice address

1052 W Loyola Ave
Chicago, IL 60626-5206

Phone

(773) 508-8876

NPI assigned

Dec 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Bridges to Wellness

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1023891520
  NPD

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1962705509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 W LOYOLA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 W LOYOLA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265206",
            "telephone_number": "773-508-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "SHENAY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071008013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges Academy, LLC
• Bridges LLC
• Bridges to Wellness
• Danielle Bridges
• Katie Hunt Bridges, DMD
• Bridgette Love
• Bridgewrights LLC
• Bridgford Nurse Anesthesia Services
• Shelbie Rene Bridgham
• Bridging Lyfe LLC

• Counseling Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.