Friends of Bridge Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

100611515 Issued in NY

Legal business name

FRIENDS OF BRIDGE INC

Practice address

5 Pflug PL
Valley Stream, NY 11580-3900

Phone

(516) 825-4242

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kristine Garcia, LMHC, NCC, CASAC

Title

Executive Director

Phone

(516) 825-4242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

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

• Stuart Wasser, MD

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1922099852
  Medicare reassignment NPD (past)
• Tonya Flippin Jackson, CASAC-T

  • Addiction (Substance Use Disorder) Counselor
  • Valley Stream, NY
  • NPI 1982571501
  NPD
• James Michael Wyler, LMHC,NCC,CASAC

  • Counselor
  • Commack, NY
  • NPI 1407250988
  NPD
• Angela Anspake

  • Addiction (Substance Use Disorder) Counselor
  • Valley Stream, NY
  • NPI 1538899455
  NPD (past)
• Liza Ellen Bagdan, PEER COUNSELOR

  • Peer Specialist
  • Valley Stream, NY
  • NPI 1417770645
  NPD (past)
• Jennifer Marie Holland

  • Case Manager/Care Coordinator
  • Valley Stream, NY
  • NPI 1053050849
  NPD (past)
• Danielle Krizni, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1003185448
  NPD (past)
• Carolyn McKenna

  • Social Worker
  • Melville, NY
  • NPI 1164987459
  NPD (past)
• Loretta Delores McManus, CASAC 2

  • Addiction (Substance Use Disorder) Counselor
  • Valley Stream, NY
  • NPI 1972145498
  NPD (past)
• Asher Rabinowitz, LCSW

  • Social Worker
  • New York, NY
  • NPI 1326336165
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1467634535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PFLUG PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PFLUG PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803900",
            "telephone_number": "516-825-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF BRIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-825-4242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, NCC, CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "100611515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Freycinet, N.P.
• Mordechai David Fried, MSW
• David Andrew Friedman, M.D.
• Ilana Y Friedman, MA CCC SLP
• Susan Friedman, MSW
• Annmarie Fuchs, LMSW
• Maria Fuentes, LMSW
• Kaylyn Fuller
• Lakisha Fulmore
• Marjorie Gabriel, M.S.ED/ BCBA

• Community/Behavioral Health Agency in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.