Bridge Clinics Behavioral Health LLC

Primary specialty

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

Legal business name

BRIDGE CLINICS BEHAVIORAL HEALTH LLC

Practice address

3702 E 10TH St
Indianapolis, IN 46201-2554

Phone

(317) 757-2563

Fax

(317) 405-9970

NPI assigned

May 19, 2020

Last updated

Jun 4, 2026By 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

Latifat A. Oyekola, MDNPI 1376756684

Title

Owner

Phone

(317) 495-5173

Specialties & licenses 2

Addresses

Other names 1

• Bridge Clinics Behavioral Health LLC Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Bridge Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bridge Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Indianapolis, IN
  • NPI 1568935278
  NPD tax ID

Locations

Practitioners 2

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.

• Latifat A. Oyekola, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1376756684
  Medicare reassignment NPD Authorized official
• Samuel Dominic Kobba, N.P.

  • Family Nurse Practitioner
  • Elkhart, IN
  • NPI 1811211154
  Medicare reassignment NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1326661836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143920",
            "telephone_number": "317-757-2563",
            "fax_number": "317-405-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012554",
            "telephone_number": "317-757-2563",
            "fax_number": "317-405-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6357 Rockville Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462143920",
            "country_code": "US",
            "telephone_number": "317-757-2563",
            "fax_number": "317-757-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGE CLINICS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "OYEKOLA",
        "authorized_official_first_name": "LATIFAT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-495-5173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Clinics Behavioral Health LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bridge Clinics Behavioral Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeremy Lee Bricker, MD
• Harry Dwight Brickley Jr., M.D.
• Jocelyn Brickman
• Faith Brickner
• Bridge and Bloom Speech Therapy LLC
• Bridge Clinics LLC
• Bridge of Hope, Inc (Bridge Of Hope Adult Day Center)
• Bridgecare ABA in LLC
• Bridges 2 Families Home Care Agency LLC
• Bridges Coordination Services PC (Bridges Coordination Services)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.