Active NPI
Westbridge Inc
- Mental Illness Community Based Residential Treatment Facility
- Medford, MA
National Provider Identifier
1750780227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 03076
- Legal business name
- WESTBRIDGE INC
- Practice address
- 275 Mystic Ave
Ste C
Medford, MA 02155-6301 - Phone
- (781) 396-2793
- NPI assigned
- Aug 20, 2014
- Last updated
- Aug 20, 2014
- Organization subpart
- Yes
- Parent organization
- WESTBRIDGE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan Routhier, MBA, MSW
- Title
- Coo
- Phone
- (603) 634-4446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 03076 | NH | Primary |
Addresses
Primary practice location
275 Mystic Ave
Ste C
Medford, MA 02155-6301
Mailing address
1361 Elm St
Ste 207
Manchester, NH 03101-1324
Phone (603) 634-4446
National Provider Directory
National Provider Directory- Tax ID family
- Westbridge Inc
- Part of
- Westbridge Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba WestBridge Community Services
- Substance Abuse Rehabilitation Facility
- Manchester, NH
- NPI 1578560249
-
- Mental Illness Community Based Residential Treatment Facility
- Manchester, NH
- NPI 1104050301
-
- Community/Behavioral Health Agency
- Manchester, NH
- NPI 1376230433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1750780227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 ELM ST",
"address_2": "STE 207",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011324",
"telephone_number": "603-634-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MYSTIC AVE",
"address_2": "STE C",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556301",
"telephone_number": "781-396-2793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTBRIDGE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTBRIDGE INC",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "ROUTHIER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "603-634-4446",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, MSW"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NH",
"license": "03076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.