NEW BRIDGE FOUNDATION (NPI# 1750392353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750392353 |
Entity Type | Organization |
Organization Name | NEW BRIDGE FOUNDATION |
Practice Address |
1816 Scenic Ave Berkeley CA 94709-1324 |
Mailing Address |
2323 Hearst Ave Berkeley CA 94709-1319 |
Practice Telephone | 5105487270 |
Practice Fax Number | 5105481060 |
Mailing Telephone | 5105266200 |
Mailing Fax Number | 5106653176 |
Enumeration Date | 2006-08-10 |
Last Update Date | 2013-07-23 |
Authorized Official Name | MRS. NATHALIE MARIE GIREAUD-FERKO (DIRECTOR OF ADMINISTRATION) |
Authorized Official Telephone | 5105266200 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 010013AN | CA | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447436688 | New Bridge Foundation | Community/Behavioral Health | 1820 Scenic Ave, Berkeley, CA 94709-1319 | 2008-01-17 |
Street Address |
1816 SCENIC AVE |
City | BERKELEY |
State | CA |
Zip Code | 94709-1324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750923611 | Corina Michelle Pintor | Licensed Vocational Nurse | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2019-10-11 |
1902452568 | Jason Etchingham | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2019-08-09 |
1144710880 | Joseph Sorg | Licensed Vocational Nurse | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2018-05-17 |
1457870909 | Daniel Timothy Kapson | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2017-09-15 |
1720505464 | Ricky S Chen | Registered Nurse | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2017-08-24 |
1356878334 | Haley Rose Williams | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2017-05-22 |
1952850042 | Scott Watts | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-09-29 |
1568915270 | Carleen Fuller | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-28 |
1831642065 | Brian Campany | Marriage & Family Therapist | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-23 |
1285087692 | John Brewer | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063851954 | Options Recovery Program | Substance Abuse Rehabilitation Facility | 1931 Center St, Berkeley, CA 94704-1105 | 2013-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
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1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.