Bridge Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIDGE THERAPY

Practice address

9 Kattelville Rd
Binghamton, NY 13901-5859

Phone

(607) 245-6259

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

John A Davidson, LCSW-RNPI 1346282258

Title

Owner

Phone

(607) 245-6259

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Bridge Therapy LCSW, PLLC Other name

Locations

Practitioners 2

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

• John Allan Davidson, LCSW

  • Clinical Social Worker
  • Binghamton, NY
  • NPI 1346282258
  NPD (past) Authorized official
• Sarah J Harding, LCSW-R

  • Clinical Social Worker
  • Binghamton, NY
  • NPI 1891723417
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1790425924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KATTELVILLE RD STE 1",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139015821",
            "telephone_number": "607-245-6259",
            "fax_number": "607-304-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 KATTELVILLE RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139015859",
            "telephone_number": "607-245-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-245-6259",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2727902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridge Therapy LCSW, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Bray, D.M.D.
• Autumn Brendle, LCAT
• Kimberly Ann Brennan
• Melissa A Brennan, FNP
• Diane Lucille Brenner, LPN
• Bridgewater Center for Rehabilitation & Nursing LLC
• Bridgewater CFD, LLC
• Sarah Mary Bridgman, PH.D.
• Eleanor Briggs, PMHNP-BC
• Kraig Brigham III

• Clinical Social Worker in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.