Bridges to Success LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

002456 Issued in CT

Legal business name

BRIDGES TO SUCCESS LLC

Practice address

30 Hazel Ter
Suite C
Woodbridge, CT 06525-2240

Phone

(203) 296-0690

Fax

(203) 900-0690

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By 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

June Rodriguez, LPC LADC SAPNPI 1205929577

Title

Therapist

Phone

(203) 296-0690

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• June Rodriguez, LPC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • NPI 1205929577
  NPD (past) Authorized official

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1255712394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 ELLA T GRASSO BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112802",
            "telephone_number": "203-296-0690",
            "fax_number": "203-900-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAZEL TER",
            "address_2": "SUITE C",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252240",
            "telephone_number": "203-296-0690",
            "fax_number": "203-900-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "203-296-0690",
        "authorized_official_credential": "LPC LADC SAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "000272",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "002456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001451205",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra P Boltax-Stern, MD
• Kyle Branday, MSPT
• Breakthrough Therapeutic Services
• Lindsay Jane Brelsford, SLP
• Nickole Brick, M.S., CCC-SLP
• Gail Briggs-Malanson, PT
• Beth Brownstein
• Amanda Bruce, MS, OTR/L
• Nita Ketan Bulsara, RPH
• Lorraine Byam

• Community/Behavioral Health Agency in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.