BRIDGES HEALTHCARE INC. NPI 1851350300

NPI Information

NPI: 1851350300
Provider Name: BRIDGES HEALTHCARE INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 07D2141060

Address:
949 BRIDGEPORT AVE
MILFORD, CT
ZIP 06460
Phone: (203) 878-6365
Get Directions

BRIDGES HEALTHCARE INC. is an adult mental health clinic center in Milford, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BRIDGES HEALTHCARE INC. NPI is 1851350300. The provider is registered as an organization entity type.

The provider's business location address is:

949 BRIDGEPORT AVE
MILFORD, CT
ZIP 06460-142
Phone: (203) 878-6365
Fax: (203) 301-2397

The provider's authorized official is Jennifer Fiorillo .
The authorized official title is President And Ceo and has the following contact phone number (203) 878-6365.

The CLIA number assigned to this NPI record is 07D2141060 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 2/8/2022.

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	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	0313	CONNECTICUT	No
2	261QM0850X	Clinic/Center	Adult Mental Health	0314	CONNECTICUT	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	C0034	CONNECTICUT	No
4	261QM0850X	Clinic/Center	Adult Mental Health	0316	CONNECTICUT	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	004039244	MEDICAID	CONNECTICUT
2	ANC 1406	OTHER	CONNECTICUT	OXFORD HEALTH PLAN
3	77ABH0005CT01	OTHER	CONNECTICUT	ANTHEM BCBS
4	118591000	OTHER	CONNECTICUT	MAGELLAN PROVIDER NUMBER
5	165319	OTHER	CONNECTICUT	VALUE OPTIONS

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: 5/5/2024

NPI Synchronization or Removal

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