NPIMap

Organization Active NPI

Bridge Over Troubled Waters

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1881844066
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0567 Issued in MA
Legal business name
BRIDGE OVER TROUBLED WATERS
Practice address
47 West St
Boston, MA 02111-1219
Phone
(617) 423-9575
Fax
(857) 277-6465
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Thomas Colligan
Title
Interim Executive Director
Phone
(617) 423-9575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0567 MA Primary

Addresses

Primary practice location

47 West St
Boston, MA 02111-1219

Mailing address

47 West St
Boston, MA 02111-1219
Phone (617) 423-9575

National Provider Directory

National Provider Directory

Locations

47 West St
Boston, MA 02111
Phone (617) 423-9575

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1881844066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WEST ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111219",
            "telephone_number": "617-423-9575",
            "fax_number": "857-277-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WEST ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111219",
            "telephone_number": "617-423-9575",
            "fax_number": "857-277-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OVER TROUBLED WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "COLLIGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-423-9575"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "0567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.