COMMUNITY BRIDGES, INC. (NPI# 1336654201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336654201 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | SCOTTSDALE ADOLESCENT |
| Practice Address |
8541 E Anderson Dr Ste 105 Scottsdale AZ 85255-5430 |
| Mailing Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 4805207000 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Authorized Official Name | ANDREA LOPEZ (MEDICAL CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4808317566 |
| Authorized Official Credential | CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | OTC5950 | AZ | Agencies |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OTC5950 | AZ | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
OTC5950 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | OTC5950 | 01 |
| Other Name | Type Code |
|---|---|
| Scottsdale Adolescent | Other Name - Individual/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 |
8541 E ANDERSON DR STE 105 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962584185 | Monica Gabriela Faria | Psychiatry & Neurology | 8541 E Anderson Dr Ste 105, Scottsdale, AZ 85255-5430 | 2006-10-19 |
| 1386043230 | Matthew Brace | Marriage & Family Therapist | 8541 E Anderson Dr Ste 105, Scottsdale, AZ 85255-5430 | 2014-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235226499 | Banner Behavioral Health Hospital Pro Fee | Clinic/Center | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1508480377 | Muhammad Azeem Butt | Clinic/Center | 44796 W Sandhill Rd, Maricopa, AZ 85139-9113 | 2020-06-07 |
| 1598394850 | Rite of Passage Inc | Clinic/Center | 20275 E Rittenhouse Rd Ste 105, Queen Creek, AZ 85142-4534 | 2020-04-07 |
| 1417593575 | Obsidian Health and Wellness LLC | Clinic/Center | 13321 W Indian School Rd Ste A107, Litchfield Park, AZ 85340-4339 | 2019-11-25 |
| 1285289736 | Ericka Catrise Barker | Clinic/Center | 12858 W Alvarado Rd, Avondale, AZ 85392-7144 | 2019-08-01 |
| 1003469057 | East Valley Child Psychology | Clinic/Center | 1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680 | 2019-07-18 |
| 1851874036 | Arizonas New Hope | Clinic/Center | 5045 W Baseline Rd Ste A105-214, Laveen, AZ 85339-7392 | 2018-09-13 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1760972947 | Arizona's Children Association | Clinic/Center | 1420 N Greenfield Rd Ste 100&101, Gilbert, AZ 85234 | 2018-05-14 |
| 1609305564 | The Highway: A Self-harm and Suicide Prevention Service | Clinic/Center | 7572 E Buena Vista Dr, Prescott Valley, AZ 86314-5563 | 2017-06-05 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
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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.