NPIMap

Organization Active NPI

Bridgewell

  • Clinic/Center
  • Lynn, MA
National Provider Identifier
1285087254
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2295 Issued in MA
Legal business name
BRIDGEWELL
Practice address
66 Silsbee St
Lynn, MA 01901-1414
Phone
(617) 549-1318
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Michelle Simons, MSNPI 1336592260
Title
Clinician
Phone
(617) 549-1318

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2295 MA Primary

Addresses

Primary practice location

66 Silsbee St
Lynn, MA 01901-1414

Mailing address

66 Silsbee St
Lynn, MA 01901-1414
Phone (617) 549-1318

National Provider Directory

National Provider Directory

Locations

66 Silsbee St
Lynn, MA 01901
Phone (617) 549-1318

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1285087254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SILSBEE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011414",
            "telephone_number": "617-549-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SILSBEE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011414",
            "telephone_number": "617-549-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "617-549-1318",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.