NEXUS RECOVERY SERVICES LLC (NPI# 1558886226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558886226 |
| Entity Type | Organization |
| Organization Name | NEXUS RECOVERY SERVICES LLC |
| Practice Address |
388 Brooklawn Ave Bridgeport CT 06604-1728 |
| Mailing Address |
175 Brooklawn Ave Bridgeport CT 06604-2011 |
| Practice Telephone | 2033628884 |
| Practice Fax Number | 2032758598 |
| Mailing Telephone | 2033628884 |
| Mailing Fax Number | 2032758598 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | MR. DOMINGOS DIAS (CEO) |
| Authorized Official Telephone | 2033628884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
Nursing Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Nexus Recovery Services LLC | 388 Brooklawn Avenue, Bridgeport, CT 06604 |
| Street Address |
388 BROOKLAWN AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912271 | Patience Ashong | Counselor | 191 High Ridge Dr, Bridgeport, CT 06606-4965 | 2020-08-11 |
| 1871133371 | Pamela Mcmahon | Counselor | 3851 Main St Fl 2, Bridgeport, CT 06606-2864 | 2020-01-13 |
| 1922580737 | Jacqueline Renee Scott | Counselor | 566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107 | 2018-08-29 |
| 1225556418 | Louis L Reed | Counselor | 3334 Main St, Bridgeport, CT 06606-4227 | 2017-09-07 |
| 1609396951 | Eleanora Morgan | Counselor | 336 Midland St, Bridgeport, CT 06605-3546 | 2017-06-27 |
| 1316487630 | Louis L. Reed | Counselor | 189 Smith St, Bridgeport, CT 06607-2220 | 2017-03-06 |
| 1003288168 | Jacqueline Rodriguez | Counselor | 243 Success Ave, Bridgeport, CT 06610-2429 | 2015-10-28 |
| 1487024238 | Onorio Dadamo | Counselor | 350 Fairfield Ave, Bridgeport, CT 06604-6014 | 2015-10-05 |
| 1588985584 | Fritz Maignan | Counselor | 48 Alpine St, Bridgeport, CT 06610-1727 | 2010-06-14 |
| 1942453287 | Darrin Allan Mcallister | Counselor | 289 Laurel Ave, Bridgeport, CT 06605-1102 | 2008-10-30 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on NEXUS RECOVERY SERVICES LLC.
| 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.