Bridge the Gap

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGE THE GAP

Practice address

9811 W Charleston Blvd
Ste 2538
Las Vegas, NV 89117-7528

Phone

(702) 505-3635

NPI assigned

Jan 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Quincy Sanders

Title

Executive Director

Phone

(702) 505-3635

Specialties & licenses 3

Addresses

Tax ID family

Bridge the Gap2 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 the Gap LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1710295860
  NPD tax ID

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1386974624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "STE 2538",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-505-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "STE 2538",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-505-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THE GAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-505-3635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Health Services
• Bridge Medical LLC
• Bridge of Hope Counseling
• Bridge of Hope Counseling
• Bridge of Hope Counseling Pca
• Bridge the Gap LLC
• Bridges Youth and Family Services LLC
• Aaliyah Bridges
• Antonio Bridges
• Brandy Bridges

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.