MS. BEVERLY G. BRIDGE (NPI# 1689710311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689710311 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY G. BRIDGE |
| Credential | M.S. IN CLINCIAL PSY |
| Practice Address |
1 Lake Bellevue Dr Suite 204 Bellevue WA 98005-2417 |
| Mailing Address |
8400 Se 34th Place Mercer Island WA 98040-3026 |
| Practice Telephone | 2064413556 |
| Practice Fax Number | 4256350883 |
| Mailing Telephone | 2062321652 |
| Mailing Fax Number | 4256350883 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF00000877 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1 LAKE BELLEVUE DR SUITE 204 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295846012 | Jim C Chen | Psychiatry & Neurology | 1 Lake Bellevue Dr, Suite #101, Bellevue, WA 98005-2417 | 2006-08-31 |
| 1265732846 | Joshua Douglas Field | Physical Therapist | 1 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2417 | 2010-10-28 |
| 1447550041 | Natalia Solarek | Physical Therapist | 1 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2417 | 2010-10-28 |
| 1104140243 | Amber K Cassidy | Massage Therapist | 1 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2417 | 2010-03-18 |
| 1053552059 | Antonio Abolafia | Acupuncturist | 1 Lake Bellevue Dr, Suite 105, Bellevue, WA 98005-2417 | 2009-03-20 |
| 1134369671 | Brad S Defenbaugh | Physical Therapist | 1 Lake Bellevue Dr, Ste 100, Bellevue, WA 98005-2417 | 2009-02-24 |
| 1295989689 | Erika Lynn Johnson | Physical Therapist | 1 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2417 | 2008-11-11 |
| 1669624110 | Carl H. Jelstrup, Dc, Ps, Inc | Chiropractor | 1 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2417 | 2008-10-15 |
| 1942495841 | Stephen Christopher Andersen | Dentist | 1 Lake Bellevue Dr, Ste 108, Bellevue, WA 98005-2417 | 2007-09-13 |
| 1588859433 | Carl H Jelstrup | Chiropractor | 1 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2417 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736640 | Deborah Runke | Marriage & Family Therapist | 1160 140th Ave Ne Ste E&f, Bellevue, WA 98005-2978 | 2018-07-11 |
| 1700313665 | Kristin Nicole Mendoza | Marriage & Family Therapist | 13646 Ne 24th St, Bellevue, WA 98005-1859 | 2017-05-22 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1306295860 | Linda Dulan | Marriage & Family Therapist | 4861 167th Ave Se, Bellevue, WA 98006-5897 | 2016-06-06 |
| 1063872844 | Sophia Lust | Marriage & Family Therapist | 11711 Se 8th St, Suite 315, Bellevue, WA 98005-3543 | 2016-03-07 |
| 1902295777 | Christina Steere | Marriage & Family Therapist | 915 118th Ave Se Ste 285, Bellevue, WA 98005-3800 | 2015-01-16 |
| 1093131070 | Tina Marie Ensminger | Marriage & Family Therapist | 1400 112th Ave Se Ste 202, Bellevue, WA 98004-6901 | 2014-03-13 |
| 1790113504 | Jennifer Marie Peters | Marriage & Family Therapist | 16130 Se Eastgate Way Apt D105, Bellevue, WA 98008-5474 | 2013-10-15 |
| 1639510001 | Sarah Howbert | Marriage & Family Therapist | 12740 Ne 30th St, Bellevue, WA 98005-1606 | 2013-07-12 |
| 1699118976 | Angela L. Wyatt | Marriage & Family Therapist | 1406 Fort Crook Rd S Ste 401, Bellevue, NE 68005-2980 | 2013-04-16 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.