COMMUNITY BRIDGES INC. NPI 1205092608

NPI Information

NPI: 1205092608
Provider Name: COMMUNITY BRIDGES, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Doing Business As: PAYSON TRANSITION POINT
Address: 803 W MAIN ST STE C
PAYSON, AZ
ZIP 85541
Phone: (928) 468-0022

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NPI Details

COMMUNITY BRIDGES, INC. is a community based residential treatment facility mental illness in Payson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMMUNITY BRIDGES, INC. NPI is 1205092608. The provider is registered as an organization entity type.
The provider Is Doing Business As Payson Transition Point.

The provider's business location address is:

803 W MAIN ST STE C
PAYSON, AZ
ZIP 85541-993
Phone: (928) 468-0022
Fax: (928) 468-0044

The provider's authorized official is John F Hogeboom .
The authorized official title is President/ceo and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	323P00000X	Psychiatric Residential Treatment Facility	252714	ARIZONA	No
2	291U00000X	Clinical Medical Laboratory	252714	ARIZONA	No
3	324500000X	Substance Abuse Rehabilitation Facility	252714	ARIZONA	No
4	343900000X	Non-emergency Medical Transport (VAN)	252714	ARIZONA	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	252714	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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