Organization Active NPI

Newbridge Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winter Park, FL
National Provider Identifier
1811328743
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
0948AD639403 Issued in FL
Legal business name
NEWBRIDGE BEHAVIORAL HEALTH LLC
Doing business as
NewBridge Recovery
Practice address
1801 Lee Rd
Suite 115
Winter Park, FL 32789-2162
Phone
(407) 644-1500
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Mr. Arthur Wright
Title
Ceo
Phone
(407) 644-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0948AD589701 FL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0948AD639403 FL Primary

Addresses

Primary practice location

1801 Lee Rd
Suite 115
Winter Park, FL 32789-2162

Mailing address

1801 Lee Rd
Suite 115
Winter Park, FL 32789-2162
Phone (407) 644-1500

Other names 1

  • NewBridge Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

1801 Lee Rd
Ste 115
Winter Park, FL 32789
Phone (407) 644-1500

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1811328743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEE RD",
            "address_2": "SUITE 115",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892162",
            "telephone_number": "407-644-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD",
            "address_2": "SUITE 115",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892162",
            "telephone_number": "407-644-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-644-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "0948AD589701",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "0948AD639403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewBridge Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.