Active NPI
Julia S Tucker Wood
Doing business as Bridges on Elm
- Community/Behavioral Health Agency
- Old Saybrook, CT
National Provider Identifier
1972043818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 001034
- Legal business name
- JULIA S TUCKER WOOD
- Doing business as
- Bridges on Elm
- Practice address
- 97 Elm St
Old Saybrook, CT 06475-4144 - Phone
- (860) 575-0811
- Fax
- (860) 339-5114
- NPI assigned
- Feb 26, 2017
- Last updated
- Feb 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia S Tucker Wood
- Title
- LMFT
- Phone
- (860) 575-0811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 001034 | CT | Primary |
Addresses
Primary practice location
97 Elm St
Old Saybrook, CT 06475-4144
Mailing address
97 Elm St
Old Saybrook, CT 06475-4144
Phone (860) 575-0811
Other names 1
- Bridges on Elm
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Clinton, CT
- NPI 1306067624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488067200000",
"number": "1972043818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 ELM ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754144",
"telephone_number": "860-575-0811",
"fax_number": "860-339-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 ELM ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754144",
"telephone_number": "860-575-0811",
"fax_number": "860-339-5114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIA S TUCKER WOOD",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-26",
"last_updated": "2017-02-26",
"status": "A",
"authorized_official_last_name": "TUCKER WOOD",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "LMFT",
"authorized_official_telephone_number": "860-575-0811"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CT",
"license": "001034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridges on Elm",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.