New Bridges Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW BRIDGES INC

Practice address

210 Queensland LN
Covington, GA 30016

Phone

(678) 212-0998

Fax

(678) 212-0999

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

John Oshifodunrin

Title

Ceo

Phone

(678) 212-0998

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1295931889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 QUEENSLAND LN",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "678-212-0998",
            "fax_number": "678-212-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 QUEENSLAND LN",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30016",
            "telephone_number": "678-212-0998",
            "fax_number": "678-212-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "OSHIFODUNRIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-212-0998"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639182774A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.