Bridges to Recovery II LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

196601269 Issued in CA

Legal business name

BRIDGES TO RECOVERY II LLC

Practice address

1820 San Vicente Blvd
Santa Monica, CA 90402-2309

Phone

(310) 459-0613

Fax

(310) 573-7092

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frederik Vilhelm Schulin

Title

Administrator

Phone

(310) 459-0613

Specialties & licenses 1

Addresses

Tax ID family

Bridges to Recovery II LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bridges to Recovery III

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
  • NPI 1396014544
  NPD tax ID
• Bridges to Recovery Iiii

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
  • NPI 1093152076
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bridges to Recovery III

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
  • NPI 1396014544
  NPPES parent name

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1780952770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 SAN REMO DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722737",
            "telephone_number": "310-459-0613",
            "fax_number": "310-573-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SAN VICENTE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022309",
            "telephone_number": "310-459-0613",
            "fax_number": "310-573-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO RECOVERY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHULIN",
        "authorized_official_first_name": "FREDERIK",
        "authorized_official_middle_name": "VILHELM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-459-0613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "196601269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Michael Bretsky, MD, PHD
• Heather Brewer, MA
• Jessica Lin Brewer, P.A.
• Brian R. Gantwerker, M.D., a Medical Corporation (The Craniospinal Center of Los Angeles)
• Elaine Hope Bridge
• Alec Bridges, LAC
• Deborah Marie Briem, LMFT
• Bright Dental Corp
• Ana Brightleaf, D.M.D.
• James Brighton, MA, AMFT

• Mental Illness Community Based Residential Treatment Facility in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.