NPIMap

Organization Active NPI

The Bridge - a Center for Hope and Healing

  • Counselor
  • Dartmouth, MA
National Provider Identifier
1043668080
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE BRIDGE - A CENTER FOR HOPE AND HEALING
Practice address
351 Elm St
Dartmouth, MA 02748-3407
Phone
(508) 542-4542
NPI assigned
Jun 1, 2016
Last updated
Jul 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
Scott Chiosek
Title
Owner
Phone
(508) 542-4542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

351 Elm St
Dartmouth, MA 02748-3407

Mailing address

351 Elm Street
Dartmouth, MA 02748-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608000613 MA Part B Supplier - Clinic/Group Practice 7416225875 Receives reassigned benefits from 9 practitioners
Practice locations: S Dartmouth, MA

National Provider Directory

National Provider Directory

Locations

351 Elm St
South Dartmouth, MA 02748
Phone (508) 542-4525

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1043668080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ELM STREET",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027480000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ELM ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027483407",
            "telephone_number": "508-542-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE - A CENTER FOR HOPE AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "CHIOSEK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-542-4542"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.