The Bridge Health Collective · Group Psychotherapy Psychologist

1639 W Stevanna Way, Flagstaff, AZ 86001-1155

Overview

The Bridge Health Collective is a Group Psychotherapy Psychologist (organization) practicing in Flagstaff, Arizona. The National Provider Identifier (NPI) is #1053281477, which was assigned on November 10, 2025, and the registration record was last updated on March 3, 2026. The practitioner's main practice location is at 1639 W Stevanna Way, Flagstaff, AZ 86001-1155; the contact telephone number is 5053050783. The primary taxonomy of The Bridge Health Collective is Group Psychotherapy Psychologist (103TP2701X), with specialization in Group Psychotherapy. The authorized official for The Bridge Health Collective is Samantha Russell (Owner).

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Provider Information

NPI 1053281477
Entity Type Organization
Organization Name THE BRIDGE HEALTH COLLECTIVE
Provider Name THE BRIDGE HEALTH COLLECTIVE
Practice Address 1639 W Stevanna Way
Flagstaff
AZ 86001-1155
Practice Telephone 5053050783
Mailing Address 1639 W Stevanna Way
Flagstaff
AZ 86001-1155
Certification Date 2026-03-03
Enumeration Date 2025-11-10
Last Update Date 2026-03-03
Is Organization Subpart N

Authorized Official Information

Official Name SAMANTHA RUSSELL
Official Title OWNER
Credential PHD
Telephone 5053050783

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103TP2701XPsychologistGroup Psychotherapy193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 103TP2701X
Taxonomy Group Psychotherapy Psychologist
Classification Psychologist
Specialization Group Psychotherapy
Grouping Behavioral Health & Social Service Providers
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Notes: Source: American Psychological Association, www.apa.org [1/1/2007: modified title, 1/1/2019: new definition]

Additional Resources: The APA specialty is "Group Psychology and Group Psychotherapy."

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Mm Neuropsych A Professional Psychology Corporation 20422 Beach Blvd Ste 230, Huntington Beach, CA 92648-4398Group Psychotherapy Psychologist2026-04-20
Share Wellness Center 605 Post Office Rd Ste 305, Waldorf, MD 20602-1913Group Psychotherapy Psychologist2026-03-23
Marcellus R Cephas Md LLC 7610 Carroll Ave, Suite 200, Takoma Pk, MD 20912Group Psychotherapy Psychologist2007-02-28
Linda K King 10259 Perry Rd, Orrick, MO 64077-8064Group Psychotherapy Psychologist2021-01-14
Arizona Counseling and Therapy LLC 5040 E Shea Blvd Ste 252, Scottsdale, AZ 85254-4687Group Psychotherapy Psychologist2026-05-27
Northstar Behavioral Health Services, LLC 5220 Hood Rd Ste 101, Palm Beach Gardens, FL 33418-8910Group Psychotherapy Psychologist2026-04-29
Laurie Bloom Levinson 660 Straffan Dr, Timenium, MD 21093Group Psychotherapy Psychologist2007-04-27

Location Information

Street Address 1639 W STEVANNA WAY
City FLAGSTAFF
State AZ
Zip Code 86001-1155
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Northern Arizona Optometry, PLLC 420 N. Humphreys St., Flagstaff, AZ 86001Optometrist2017-02-21
Brandy N Perry 208 E. Pine Knoll Dr., Flagstaff, AZ 86001Dental Hygienist2021-07-13
Riley Paige Lau 824 S. San Francisco St., Flagstaff, AZ 86001Registered Dietitian2022-12-27
Karen Olivia Francis 77 W. Forest Ave, Suite 202, Flagstaff, AZ 86001Registered Nurse2017-08-29
Lindsey Marie Forstie 7263 E Dreamview Trail, Flagstaff, AZ 86001Nurse Practitioner2017-06-26
Sage Wilcox 208 East Pine Knoll Drive, Building 66, Flagstaff, AZ 86001Student in an Organized Health Care Education/Training Program2024-07-09
Edith Wenepai Leon · Edith Philip Kisanga 1016 W University Ave #220, Flagstaff, AZ 86001Speech-Language Pathologist2021-10-19
Kimberly Kruse 3225 N Jackrabbit Ln, Flagstaff, AZ 86001Marriage & Family Therapist2016-08-17
Gradients of Need 2700 S Woodland Blvd, Ste 300, Pmb 205, Flagstaff, AZ 86001Clinical Social Worker2025-07-08
Safe Harbor Counseling, PLLC 711 N Beaver St, Flagstaff, AZ 86001Professional Counselor2025-01-29
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.