Bridge Community Service Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BRIDGE COMMUNITY SERVICE INC

Practice address

964 E Stetson Ave
Hemet, CA 92543-8129

Phone

(323) 357-2512

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Coletta Franciscus

Title

Cfo

Phone

(714) 458-3976

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Coletta Banks, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1275613325
  NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1932795580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E CHAPMAN AVE # 335",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313954",
            "telephone_number": "714-458-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 E STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925438129",
            "telephone_number": "323-357-2512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 E Chapman Ave # 335",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313954",
            "country_code": "US",
            "telephone_number": "714-458-3976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGE COMMUNITY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "FRANCISCUS",
        "authorized_official_first_name": "COLETTA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-458-3976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unk",
            "affiliation": "N",
            "address_1": "1310 E Chapman Ave # 335",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928313954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breathing Disorders Services
• Breezy Speech Therapy Inc.
• Brewing Hope Family Counseling, Inc
• Brian G Mills, DPM Inc
• Brian Stiewel DDS Inc
• Bridging Lives LLC
• Bridging Lives LLC
• Bridging Lives LLC
• Bridging Lives LLC
• Evelyn Bright, FNP

• Marriage & Family Therapist in Hemet, CA
• Providers in Hemet, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.