Community Bridges, Inc., NPI 1649425950
Psychiatric Residential Treatment Facility in Globe, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649425950
NPI Entity Type Organization
Provider Name Community Bridges, Inc.
Doing Business As
Subpart of Organization Community Bridges, Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5734 Hope Ln, Suite 1, Globe, AZ, US
Provider Mailing Address 1855 W. Baseline Rd, Suite 101, Mesa, AZ, US, 852029098
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. LISAC John F Hogeboom
Official Position PRESIDENT/CEO
Phone 480-831-7566

Primary Taxonomy

Taxonomy Code

323P00000X

Taxonomy Name Psychiatric Residential Treatment Facility
Classification

Psychiatric Residential Treatment Facility

Group

Residential Treatment Facilities

License No. BH5370
License State AZ
Description A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Other Organization Name

Globe Transition Point
Doing Business As

Business Address

Community Bridges, Inc.
5734 Hope Ln
Suite 1

Globe, AZ, US

Phone: 928-425-2415
Fax: 928-425-2464

Mailing Address

Community Bridges, Inc.
1855 W. Baseline Rd
Suite 101
Mesa, AZ, US
ZIP 852029098
Phone: 480-831-7566
Fax: 480-962-7671

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QR1300X

Ambulatory Health Care Facilities

Clinic/Center

SABH 6693 AZ No

291U00000X

Laboratories

Clinical Medical Laboratory

SABH 6693 AZ No

343900000X

Transportation Services

Non-emergency Medical Transport (VAN)

SABH 6693 AZ No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
378626 AZ MEDICAID 05
Z145164 AZ MEDICARE PTAN 01

Other Providers in AZ, US

NPI Name Taxonomy Address

1659836476

Kerri Hohn

Individual

Behavior Technician

2222 S Dobson Rd Bldg 9

Mesa, AZ

1194108852

M.A., N.C.C., L.P.C Robert Dale Labrum

Individual

Mental Health Counselor

1845 S Dobson Rd Ste 101

Mesa, AZ

1598703217

DR. M.D. Vincent Paul Goux

Individual

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1144730607

Atlas Medical Systems, Pllc

Organization

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1548982523

Tiana Elizabeth Roth

Individual

Emergency Registered Nurse

13162 W Clarendon Ave

Litchfield Park, AZ

1356066237

Ngalle Homes Care

Organization

Mental Illness Community Based Residential Treatment Facility

721 E Forge Ave

Mesa, AZ

1376270470

MR. MA, LISAC Woodrow Eugene Miller III

Individual

Addiction (Substance Use Disorder) Counselor

21085 W Park Meadows Dr

Buckeye, AZ

1861960486

Christina Fitzpatrick

Individual

Behavior Technician

1 S Church Ave Ste 1200

Tucson, AZ

1295450658

PA-C Abigail Jane Higgins

Individual

Family Medicine Physician

16611 S 40th St Ste 120

Phoenix, AZ

1154088532

RN Abbigael Naomi Simpson

Individual

Psychiatric/Mental Health Nurse Practitioner

1707 W Saint Marys Rd

Tucson, AZ

1508581976

Rehema Outpatient Treatment Center Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

1968a N Peart Rd Ste 3

Casa Grande, AZ

1083339451

MRS. LCSW Colette Reon Hardesty-tesar X

Individual

Clinical Social Worker

3565 E Marshall Gulch Pl

Tucson, AZ

1821594557

MD Xiao Kristin Liang

Individual

Family Medicine Physician

7301 E 2nd St Ste 210

Scottsdale, AZ

1194440560

RD Haley Dawn Smith

Individual

Registered Dietitian

1200 N Beaver St

Flagstaff, AZ

1851852834

MD Nicole Marie Casey

Individual

Family Medicine Physician

3003 N 3rd St

Phoenix, AZ

1669120499

Julie Ann Roberts

Individual

Mental Health Counselor

335 N Alma School Rd

Chandler, AZ

1316335383

MOT OTR/L, BCP, CIMI Victoria Wicus

Individual

Occupational Therapist

4525 E Le Marche Ave

Phoenix, AZ

1134849490

LCSW Taylor Redding

Individual

Clinical Social Worker

3656 W Scavenger Dr

Marana, AZ

1043575483

Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

1447975800

PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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