COMMUNITY BRIDGES, INC. (NPI# 1164946158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164946158 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | FACT2 |
| Practice Address |
1520 E Pima St Phoenix AZ 85034 |
| Mailing Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 6024076280 |
| Mailing Telephone | 4808317566 |
| Mailing Fax Number | 4807752457 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | JOHN HOGEBOOM (DEPUTY CEO) |
| Authorized Official Telephone | 4808317566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | OTC7924 | AZ | Agencies |
| N | 251S00000X | Community/Behavioral Health | OTC7924 | AZ | Agencies |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
OTC7924 | AZ | Ambulatory Health Care Facilities |
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | OTC7924 | AZ | Hospital Units |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OTC7924 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FACT2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417439936 | Community Bridges, Inc. | Clinical Medical Laboratory | 250 S Toole Ave Ste 110, Tucson, AZ 85701-1814 | 2018-08-31 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
| 1831678721 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1972099836 | Community Bridges, Inc. | Nursing Care | 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 | 2018-07-03 |
| 1285127043 | Community Bridges, Inc. | Clinical Medical Laboratory | 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205 | 2018-06-07 |
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1184136400 | Community Bridges, Inc. | Psychiatric Residential Treatment Facility | 824 N 99th Ave Ste 105, Avondale, AZ 85323-5327 | 2017-10-26 |
| 1568986560 | Community Bridges, Inc. | Case Management | 824 N 99th Ave Ste 108, Avondale, AZ 85323-5327 | 2017-08-01 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1205115631 | Community Bridges, Inc. | Community/Behavioral Health | 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 | 2011-08-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY BRIDGES, INC. | 720 County St., New Bedford, MA 02740 |
| System for Award Management (SAM) Entities | COMMUNITY BRIDGES, INCORPORATED | 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751 |
| Street Address |
1520 E PIMA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821431560 | Matt Evans | Family Medicine | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2013-04-11 |
| 1306462247 | Jonathan Manuel Garcia | Social Worker | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2020-06-16 |
| 1114586039 | Lauren Elizabeth Chadwick | Counselor | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2019-06-13 |
| 1740769637 | Community Bridges, Inc. | Non-emergency Medical Transport (VAN) | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1427534759 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-07-19 |
| 1821583741 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-06-22 |
| 1326547118 | Kara Gasperone | Marriage & Family Therapist | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-02-07 |
| 1710401708 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| 1730603739 | Community Bridges, Inc. | Clinic/Center | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
| 1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1396209474 | Enchanted Behavioral Healthcare, LLC | Clinic/Center | 11225 N 28th Dr Ste D115h, Phoenix, AZ 85029-5609 | 2019-01-23 |
| 1427548668 | Integrative Wellness Solutions, Pllc | Clinic/Center | 700 W Campbell Ave Ste 1, Phoenix, AZ 85013-2690 | 2018-05-14 |
| 1679088363 | Center for Therapy and Mindfulness | Clinic/Center | 2807 N 51st St, Phoenix, AZ 85008-1613 | 2017-12-05 |
| 1811434558 | Successful Journeys Integrated Care | Clinic/Center | 8828 N Central Ave, 206, Phoenix, AZ 85020-2849 | 2017-01-19 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.