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Bridge Residential LLC

Psychiatric Residential Treatment Facility in Phoenix, AZ · enumerated 2024 · authorized official Wildine Burgess, Exec Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528822350

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Registry record

Entity type Organization (Type 2)
Legal business name Bridge Residential LLC
Practice address 7011 S 30th Ln, Phoenix, AZ, 85041
Enumeration date Feb 12, 2024
Last updated in NPPES Feb 12, 2024

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary
103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers Secondary
163WA0400X Addiction (Substance Use Disorder) Registered Nurse Nursing Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Primary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Wildine Burgess
Title Exec Admin

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.

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Frequently asked questions

Where is Bridge Residential LLC located?
The practice location on file with NPPES is in Phoenix, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-12.