Bridge Residential LLC
Bridge Residential LLC is a healthcare organization registered as Psychiatric Residential Treatment Facility in Phoenix, AZ, holding Type 2 (organization) NPI 1528822350 since 2024. The authorized official on file is Wildine Burgess, Exec Admin.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528822350 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bridge Residential LLC |
| Practice address | 7011 S 30TH LN, Phoenix, AZ, 85041 |
| Phone | 6023549252 |
| Enumeration date | 2024-02-12 |
| Last updated in NPPES | 2024-02-12 |
Authorized official
| Name | Wildine Burgess |
|---|---|
| Title | Exec Admin |
| Phone | 6023549252 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 103T00000X | Psychologist | Secondary | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | Secondary | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | Secondary | — | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | — | — |
| 343900000X | Non-emergency Medical Transport (VAN) | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 323P00000X | Psychiatric Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Bridge Residential LLC NPI: 1528822350 Taxonomy: 323P00000X (Psychiatric Residential Treatment Facility) Address: 7011 S 30TH LN, Phoenix, AZ, 85041
Verify this record
Cross-check NPI 1528822350 against the authoritative CMS record: view Bridge Residential LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Bridge Residential LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-12.