NPIMap

Organization Active NPI

Bridgeport Hospital

  • Psychiatric Hospital Unit
  • Bridgeport, CT
National Provider Identifier
1609928134
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0040 Issued in CT
Legal business name
BRIDGEPORT HOSPITAL
Practice address
267 Grant St
Bridgeport, CT 06610-2805
Phone
(203) 384-3775
NPI assigned
Jan 17, 2007
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Jacqueline Wrinn
Title
Director
Phone
(203) 688-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0040 CT Primary

Addresses

Primary practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3775

Other identifiers 1

IdentifierTypeStateIssuer
004041703MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110104000404 CT Part A Provider - Hospital 2062312598 Practice locations: Bridgeport, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609928134. Details of each certification follow.

Hospital certification: CCN 07S010

Legal name
BRIDGEPORT HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1878 in CT
Enrollment address
267 Grant Street
Bridgeport, CT 66102805
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Boys and Girls Village15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

2433 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 521-2300

20 York St
Ste T209
New Haven, CT 06510

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mihaela R Costin Individual Corporate OfficerElected Trustee Jan 1, 2019
Ronald B Noren Individual Corporate DirectorBoard Member Dec 8, 2010
Gary Alan Zimmerman Individual Corporate DirectorBoard Member Sep 27, 2012
Eddy Rodriguez Individual Corporate OfficerChair Jan 1, 2025
William J Aseltyne Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Yale-New Haven Health Services Corporation Organization, New Haven, CT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2003 100%
Jacqueline Wrinn Individual Corporate Director Mar 1, 2025
W-2 Managing EmployeeDirector Integrated Receivable MGMT Mar 1, 2025
John J Falconi Individual Corporate DirectorVice Chair Jan 1, 2025
Gail Kosyla Individual Corporate DirectorTreasurer Jan 1, 2025
Carolyn Salsgiver-Kobsa Individual Corporate OfficerSenior Vice President Jan 1, 2019
Thomas Lenci Individual Corporate OfficerElected Trustee Jan 1, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1609928134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "WRINN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-688-8411"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CT",
            "license": "0040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004041703",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.