NEW BRIDGE FOUNDATION, INC. (NPI# 1821602186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821602186 |
| Entity Type | Organization |
| Organization Name | NEW BRIDGE FOUNDATION, INC. |
| Practice Address |
1777 Leroy Avenue Berkeley CA 94709-1156 |
| Mailing Address |
2323 Hearst Ave Berkeley CA 94709-1319 |
| Practice Telephone | 5107487270 |
| Practice Fax Number | 5106653176 |
| Mailing Telephone | 5105266200 |
| Mailing Fax Number | 5106653176 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | NATHALIE MARIE GIREAUD-FERKO (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 5105266200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124557046 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2425 Stuart St, Berkeley, CA 94705-1115 | 2017-06-05 |
| 1700306255 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2845 64th Ave, Oakland, CA 94605-2027 | 2017-06-26 |
| 1083134068 | New Bridge Foundation, Inc. | Community/Behavioral Health | 991 14th St, Oakland, CA 94607-3230 | 2017-06-21 |
| 1639606478 | New Bridge Foundation, Inc. | Community/Behavioral Health | 8601 Macarthur Blvd, Oakland, CA 94605-4037 | 2017-05-11 |
| 1841749983 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2200 Bancroft Ave, San Leandro, CA 94577-6108 | 2016-09-30 |
| 1902285612 | New Bridge Foundation, Inc. | Clinic/Center | 2323 Hearst Ave, Berkeley, CA 94709-1319 | 2015-05-27 |
| Street Address |
1777 LEROY AVENUE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-1156 |
| 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 |
| Find all providers in zip 94709 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902285612 | New Bridge Foundation, Inc. | Clinic/Center | 2323 Hearst Ave, Berkeley, CA 94709-1319 | 2015-05-27 |
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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.