Bridge to Healing Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113031 Issued in MA

Legal business name

BRIDGE TO HEALING PSYCHOTHERAPY LLC

Doing business as

Bridge to Healing Psychotherapy

Practice address

611 Main St Ste 302E
Winchester, MA 01890-2051

Phone

(781) 640-2078

Fax

(781) 723-8566

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Boyko, LICSWNPI 1437138138

Title

Owner

Phone

(781) 640-2078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridge to Healing Psychotherapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Boyko, LICSW

  • Clinical Social Worker
  • Malden, MA
  • NPI 1437138138
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1003300385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MAIN ST STE 302E",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902051",
            "telephone_number": "781-640-2078",
            "fax_number": "781-723-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN ST STE 302E",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902051",
            "telephone_number": "781-640-2078",
            "fax_number": "781-723-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO HEALING PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "BOYKO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-640-2078",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437138138",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge to Healing Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Bova, PA-C
• Jessica Dawn Bradford, M.D.
• Eileen Bradley, LICSW
• William L Breckwoldt III, M.D.
• Bridge Consultants PLLC
• Patrick F Brophy, MD
• Jeffrey Stuart Brown, M.D.
• Stacey Karcher Bukuras, LICSW
• Jessica Marie Burns, FNP
• Vincent J Buscemi, PT

• Clinical Social Worker in Winchester, MA
• Providers in Winchester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.