Organization Active NPI

Bridge Mental Health

  • Social Worker
  • Point Pleasant, NJ
National Provider Identifier
1235553249
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BRIDGE MENTAL HEALTH
Practice address
1617 Beaver Dam Road
Point Pleasant, NJ 08742
Phone
(732) 701-8400
Fax
(732) 701-8419
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Helen A. Demetriades, PSY.D.NPI 1235230608
Title
Psychologist
Phone
(732) 701-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NJ
Social Worker 104100000X NJ Primary

Addresses

Primary practice location

1617 Beaver Dam Road
Point Pleasant, NJ 08742

Mailing address

1617 Beaver Dam Road
Point Pleasant, NJ 08742
Phone (732) 701-8400

National Provider Directory

National Provider Directory

Locations

1617 Beaver Dam Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-8400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1235553249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 BEAVER DAM ROAD",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "08742",
            "telephone_number": "732-701-8400",
            "fax_number": "732-701-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 BEAVER DAM ROAD",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "08742",
            "telephone_number": "732-701-8400",
            "fax_number": "732-701-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "DEMETRIADES",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-701-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.