Provider Demographics
NPI:1851286009
Name:BRIDGECONNECT PSYCHIATRY PLLC
Entity type:Organization
Organization Name:BRIDGECONNECT PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGALLAPU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-620-8775
Mailing Address - Street 1:400 N TAMPA ST STE 1550
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4737
Mailing Address - Country:US
Mailing Address - Phone:407-620-8775
Mailing Address - Fax:689-315-1283
Practice Address - Street 1:400 N TAMPA ST STE 1550
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4737
Practice Address - Country:US
Practice Address - Phone:407-620-8775
Practice Address - Fax:689-315-1283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty