Building New Bridges, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

OTC6493 Issued in AZ

Legal business name

BUILDING NEW BRIDGES, INC.

Practice address

455 N Mesa Dr Ste 11
Mesa, AZ 85201-5936

Phone

(480) 207-7560

Fax

(480) 668-3439

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By 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

Mrs. Demetria (Mimi) Charmaine Harris

Title

Ceo

Phone

(480) 207-7560

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1891172052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "480-207-7560",
            "fax_number": "480-668-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "480-207-7560",
            "fax_number": "480-668-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING NEW BRIDGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DEMETRIA  (MIMI)",
        "authorized_official_middle_name": "CHARMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-207-7560",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "AZ",
            "license": "OTC6493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon V Buenaver, MD
• Holly Rebecca Buhler, L.M.T, M.M.P.
• Josephine Eileen Buhler
• David Michael Buhrley, DMD
• Building a Better You Counseling LLC
• Kasandra Bujold, FNP-C
• Deanna Lynn Bullaro-Anderer, DO
• Taucha Ashley Buller-Barnes, LCSW
• Makayla Elizabeth Bulman
• Herbert H Bunchman II, M.D.

• Methadone Clinic in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Methadone Clinic in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.