The Bridge Marriage & Family Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE BRIDGE MARRIAGE & FAMILY THERAPY

Practice address

431 W Lambert Rd
Brea, CA 92821-3918

Phone

(951) 805-3467

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Michele Mack-HarrisNPI 1720560709

Title

Ceo/Owner

Phone

(951) 805-3467

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Jacqueline M Mack-Harris, PSYD, LMFT

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1720560709
  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1619613288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19917 CRESTWOOD DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925300400",
            "telephone_number": "951-805-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LAMBERT RD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213918",
            "telephone_number": "951-805-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41197 Golden Gate Cir",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925621422",
            "country_code": "US",
            "telephone_number": "951-805-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BRIDGE MARRIAGE & FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "MACK-HARRIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "951-805-3467",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "431 W Lambert Rd",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928213918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Brea, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.