Active NPI
Bridges of Wyoming, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Cheyenne, WY
National Provider Identifier
1710330782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- BRIDGES OF WYOMING, INC
- Practice address
- 6101 Yellowstone Rd
Suite 153
Cheyenne, WY 82009-3445 - Phone
- (307) 514-6025
- NPI assigned
- Jul 14, 2016
- Last updated
- Mar 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Ian Cohen
- Title
- Coo
- Phone
- (800) 388-5150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
6101 Yellowstone Rd
Suite 153
Cheyenne, WY 82009-3445
Mailing address
313 Congress St
Boston, MA 02210-1218
Phone (800) 388-5150
National Provider Directory
National Provider DirectoryLocations
6101 Yellowstone Rd
Ste 153
Cheyenne, WY 82009
Phone (307) 514-6025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677888000000",
"number": "1710330782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 CONGRESS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022101218",
"telephone_number": "800-388-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 YELLOWSTONE RD",
"address_2": "SUITE 153",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820093445",
"telephone_number": "307-514-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES OF WYOMING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-14",
"last_updated": "2023-03-04",
"certification_date": "2023-03-04",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "IAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "800-388-5150"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.