NPIMap

Organization Active NPI

The Bridge Family Center, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • West Hartford, CT
National Provider Identifier
1689887440
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
OPCC-54 Issued in CT
Legal business name
THE BRIDGE FAMILY CENTER, INC
Practice address
1022 Farmington Ave
West Hartford, CT 06107
Phone
(860) 521-8035
Fax
(860) 521-8036
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Peter Maltby
Title
Chief Fiscal Officer
Phone
(860) 521-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X OPCC-54 CT Primary

Addresses

Primary practice location

1022 Farmington Ave
West Hartford, CT 06107

Mailing address

1022 Farmington Ave
West Hartford, CT 06107-2105
Phone (860) 521-8035

Other practice location 1

2 Bridgewater Rd Ste 202
Farmington, CT 06032-2269
Phone (860) 313-1119

Other practice location 2

1021 Farmington Ave
West Hartford, CT 06107-2106
Phone (860) 313-1119 ext. 1322

Other practice location 3

100 Shield St
West Hartford, CT 06110-1920
Phone (860) 313-1119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308001300 CT Part B Supplier - Clinic/Group Practice 1951685064 Receives reassigned benefits from 10 practitioners
Practice locations: Vernon, CT; West Hartford, CT; Avon, CT

National Provider Directory

National Provider Directory
Tax ID family
The Bridge Family Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

45 W Main St
Avon, CT 06001
Phone (860) 313-1119

2 Bridgewater Rd
Ste 202
Farmington, CT 06032
Phone (860) 313-1119

100 Shield St
West Hartford, CT 06110
Phone (860) 313-1119

100 Shield St
#C
West Hartford, CT 06110
Phone (860) 313-1119

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1689887440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072105",
            "telephone_number": "860-521-8035",
            "fax_number": "860-521-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06107",
            "telephone_number": "860-521-8035",
            "fax_number": "860-521-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bridgewater Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322269",
            "country_code": "US",
            "telephone_number": "860-313-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061072106",
            "country_code": "US",
            "telephone_number": "860-313-1119 x1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Shield St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061101920",
            "country_code": "US",
            "telephone_number": "860-313-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BRIDGE FAMILY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MALTBY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "860-521-8035"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "OPCC-54",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.