Newbridge Therapy Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEWBRIDGE THERAPY CENTER, LLC

Practice address

6701 Peters Creek Rd Ste 109
Roanoke, VA 24019-4060

Phone

(540) 503-3094

Fax

(540) 400-8808

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Maria Weaver

Title

Office Manager

Phone

(540) 529-8543

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1396433074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD STE 109",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "540-503-3094",
            "fax_number": "540-400-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD STE 109",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "540-503-3094",
            "fax_number": "540-400-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-529-8543"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melinda New, M.D.
• Mary Holland Newbold, CRNA
• Temple Marie Newbold, NP
• Ha Newbury, FNP-C
• Alden Hemenway Newcomb, MD
• Emily Paige Newcomb, LPC, MS
• Janice M Newell, RPH
• Anne Elizabeth Newman, D.D.S.

• Clinical Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.