Connecting Broken Bridges

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CONNECTING BROKEN BRIDGES

Practice address

2821 Elmdale Dr
Fort Wayne, IN 46816-1411

Phone

(260) 582-1835

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Deanna Lockett

Title

Co Owner

Phone

(260) 348-4738

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alyssia Binion, BS

  • Community Health Worker
  • Fort Wayne, IN
  • NPI 1457876575

  Adolescent and Children Mental Health

  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1962195131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 ELMDALE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468161411",
            "telephone_number": "260-582-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ELMDALE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468161411",
            "telephone_number": "260-582-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTING BROKEN BRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "260-348-4738"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Conkling, DPT
• Aimee Conley, LPN
• Andrea D Conley, MSN, RN, AGCNS-BC
• Erin Louise Conley
• Ray D Conley, LSW , LCAC
• Connection Points Inc.
• Stephen J Connelly, PT
• Conner Yoder Nutrition LLC
• David M Conner, MD
• Dylan Conner

• Adolescent and Children Mental Health Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.