Bridges 4 Independence, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGES 4 INDEPENDENCE, LLC

Practice address

164 Phyllis CT
Yorktown Heights, NY 10598-2118

Phone

(914) 269-2679

Fax

(914) 425-8725

NPI assigned

Mar 25, 2018

Last updated

Mar 25, 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

Mr. Michael D Fernandes, CRPA-RECOVERY COACH

Title

Ceo/Managing Member

Phone

(914) 269-2679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521936000000",
    "number": "1124523956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KILIAN DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068113434",
            "telephone_number": "845-392-0057",
            "fax_number": "914-425-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 PHYLLIS CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982118",
            "telephone_number": "914-269-2679",
            "fax_number": "914-425-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES 4 INDEPENDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-03-25",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "914-269-2679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRPA-RECOVERY COACH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.