Active NPI
Bridget N Guillen, OTR/L
- Occupational Therapist
- Albany, NY
National Provider Identifier
1942687520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024698
- Practice address
- 10B Madison Avenue Ext
Albany, NY 12203-7314 - Phone
- (518) 466-3206
- NPI assigned
- May 2, 2015
- Last updated
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024698 | NY | Primary |
Addresses
Primary practice location
10B Madison Avenue Ext
Albany, NY 12203-7314
Mailing address
5 Helen CT
Glenville, NY 12302-4901
Phone (518) 466-3206
Other practice location 1
999 Broadway
Suite #304
Saugus, MA 01906-4521
Phone (781) 558-9565
Other practice location 2
45 Goode St
Burnt Hills, NY 12027-9701
Phone (518) 466-3206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024698 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1942687520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HELEN CT",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024901",
"telephone_number": "518-466-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10B MADISON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122037314",
"telephone_number": "518-466-3206"
}
],
"practiceLocations": [
{
"address_1": "999 Broadway",
"address_2": "Suite #304",
"address_purpose": "LOCATION",
"city": "Saugus",
"state": "MA",
"postal_code": "019064521",
"country_code": "US",
"telephone_number": "781-558-9565",
"fax_number": "781-558-9567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Goode St",
"address_purpose": "LOCATION",
"city": "Burnt Hills",
"state": "NY",
"postal_code": "120279701",
"country_code": "US",
"telephone_number": "518-466-3206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLEN",
"first_name": "BRIDGET",
"middle_name": "N",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-02",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.