Bridges to Bright Futures,LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIDGES TO BRIGHT FUTURES,LLC

Practice address

95 Durkee LN
East Patchogue, NY 11772-5818

Phone

(631) 286-0343

Fax

(631) 569-2007

NPI assigned

Aug 30, 2018

Last updated

Jul 1, 2019By 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

Mrs. Caroline Catherine Brabazon-Wilkinson

Title

Owner

Phone

(516) 672-9792

Specialties & licenses 2

Addresses

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.

• Caroline Catherine Brabazon, MSCCCSLP

  • Speech-Language Pathologist
  • East Patchogue, NY
  • NPI 1548316441
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1104308717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 DURKEE LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725818",
            "telephone_number": "631-286-0343",
            "fax_number": "631-569-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 DURKEE LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725818",
            "telephone_number": "631-286-0343",
            "fax_number": "631-569-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO BRIGHT FUTURES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "BRABAZON-WILKINSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-672-9792",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne B Brady, MACCC SLP
• Ivory Brame, LPN
• Renee Ann Brand, RN
• Terrie Jean Brennan, NP
• Christine Beth Breyer, LCSW
• Brookhaven Eye Surgery, P.C.
• Brookhaven Health Care Facility LLC
• Brookhaven Memorial Hospital
• Brookhaven Memorial Hospital
• Brookhaven Nephrology Associates, P.C.

• Early Intervention Provider Agency in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.