BRIDGE TO BALANCE
NPI 1073251377
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tempe, AZ

NPI Status: Active since May 25, 2022

Contact Information

1222 E BASELINE RD STE 103
TEMPE, AZ
ZIP 85283
Phone: (602) 705-1011

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About BRIDGE TO BALANCE

This page provides the complete NPI Profile along with additional information for Bridge To Balance, a provider established in Tempe, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1073251377 assigned on May 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated February 2025. The provider's . The authorized official of this NPI record is Mr. Myrio Davis (Owner)

NPI
1073251377
Provider Legal Name
BRIDGE TO BALANCE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1222 E BASELINE RD STE 103 TEMPE, AZ 85283
Location Phone
(602) 705-1011
Mailing Address
1222 E BASELINE RD STE 103 TEMPE, AZ 85283
Mailing Phone
(608) 705-1011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2022
Last Update Date
02-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

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

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174200000XOther Service Providers

Meals

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
43245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MYRIO DAVIS

Authorized Official Title
OWNER
Authorized Official Phone
(602) 705-1011

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073251377
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143452314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 4 + 5 + 2 + 3 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1073251377 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790590552BRIDGE TO BALANCE
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1222 E BASELINE RD STE 103
TEMPE, AZ 85283
(602) 705-1011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073251377, enumerated in the NPI registry as an "organization" on May 25, 2022

The provider is located at 1222 E Baseline Rd Ste 103 Tempe, Az 85283 and the phone number is (602) 705-1011

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on May 25, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.