The Bridge Family Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

002363 Issued in CT

Legal business name

THE BRIDGE FAMILY CENTER

Practice address

1038 Farmington Ave
West Hartford, CT 06107-2109

Phone

(860) 313-1119

NPI assigned

Aug 5, 2013

Last updated

Aug 5, 2013By 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

Margaret Hann

Title

Executive Director

Phone

(860) 521-8035

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Bridge Family Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• The Bridge Family Center

  • Adolescent and Children Mental Health Clinic/Center
  • West Hartford, CT
  • NPI 1457797326
  NPD tax ID
• The Bridge Family Center

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1861712762
  NPD tax ID
• The Bridge Family Center, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • West Hartford, CT
  • NPI 1689887440
  NPD tax ID
• The Bridge Family Center, Inc

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1780974493
  NPD tax ID
• The Bridge Family Center, Outpatient Psychiatric Clinic for Children

  • Adolescent and Children Mental Health Clinic/Center
  • West Hartford, CT
  • NPI 1134399116
  NPD tax ID

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1235561010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072105",
            "telephone_number": "860-521-8035",
            "fax_number": "860-313-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072109",
            "telephone_number": "860-313-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HANN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-521-8035"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "002363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QM0855X",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Tenser, M.D.
• Terese Fagan LCSW LLC
• Elisheva Esther Terrion, ND
• Sejal Thacker, DDS
• The Bridge Family Center
• The Bridge Family Center
• The Bridge Family Center
• The Bridge Family Center, Inc
• The Bridge Family Center, Inc
• The Bridge Family Center, Outpatient Psychiatric Clinic for Children

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.