NPIMap

Organization Active NPI

New Bridge Foundation, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Berkeley, CA
National Provider Identifier
1821602186
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NEW BRIDGE FOUNDATION, INC.
Practice address
1777 Leroy Avenue
Berkeley, CA 94709-1156
Phone
(510) 748-7270
Fax
(510) 665-3176
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Nathalie Marie Gireaud-Ferko
Title
Director of Administration
Phone
(510) 526-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1777 Leroy Avenue
Berkeley, CA 94709-1156

Mailing address

2323 Hearst Ave
Berkeley, CA 94709-1319
Phone (510) 526-6200

National Provider Directory

National Provider Directory
Tax ID family
New Bridge Foundation Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1821602186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 HEARST AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091319",
            "telephone_number": "510-526-6200",
            "fax_number": "510-665-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 LEROY AVENUE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091156",
            "telephone_number": "510-748-7270",
            "fax_number": "510-665-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "GIREAUD-FERKO",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "510-526-6200"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.