BRIDGEWELL, INC (NPI# 1033262860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033262860 |
| Entity Type | Organization |
| Organization Name | BRIDGEWELL, INC |
| Practice Address |
35 Market St Lowell MA 01852 |
| Mailing Address |
471 Broadway Lynnfield MA 01940 |
| Practice Telephone | 9784590389 |
| Practice Fax Number | 9784597642 |
| Mailing Telephone | 3398832166 |
| Mailing Fax Number | 3398832187 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | MS. LYNN MARIE LEWIS (BILLING MANAGER) |
| Authorized Official Telephone | 3398832166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4463 | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1310798 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BridgeWell, Inc. | 6073 W. 44th Ave. #204, Wheat Ridge, CO 80033 |
| System for Award Management (SAM) Entities | BRIDGEWELL, INCORPORATED | 10 Dearborn Rd, Peabody, MA 01960-8836 |
| Street Address |
35 MARKET ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739934 | Lisa Ann Brown | Nurse Practitioner | 35 Market St, Lowell, MA 01852-6245 | 2005-09-09 |
| 1164049003 | Samantha Brown | Counselor | 35 Market St, Lowell, MA 01852-6245 | 2020-06-26 |
| 1629611413 | Margaret Landers | Social Worker | 35 Market St, Lowell, MA 01852-6245 | 2019-10-24 |
| 1558917104 | Melanie Dunbar | Counselor | 35 Market St, Lowell, MA 01852-6245 | 2019-08-09 |
| 1386299147 | Natalia Santiago | Counselor | 35 Market St, Lowell, MA 01852-6245 | 2019-08-07 |
| 1831664291 | Esther Schwartz | Social Worker | 35 Market St, Lowell, MA 01852-6245 | 2018-10-11 |
| 1598245581 | Kathryn Ferlisi | Counselor | 35 Market St, Lowell, MA 01852 | 2018-08-18 |
| 1689173866 | Michelle Vivoamore | Registered Nurse | 35 Market St, Lowell, MA 01852 | 2018-02-02 |
| 1962959411 | Julie Cunningham | Nurse Practitioner | 35 Market St, Lowell, MA 01852 | 2016-09-01 |
| 1780037986 | Natalie Breault | Counselor | 35 Market St, Lowell, MA 01852-6245 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080586 | Elizabeth Duncan Newell | Community/Behavioral Health | 24 Chauncey Ave, Lowell, MA 01851-4322 | 2020-07-16 |
| 1689169823 | Meredith Sargent Rogerson | Community/Behavioral Health | 578 Andover St, Lowell, MA 01852-1443 | 2018-06-29 |
| 1457803496 | Bourin You | Community/Behavioral Health | 373 Westford St, Lowell, MA 01851-2520 | 2016-10-25 |
| 1831595669 | Sophie Dipillo Advocacy Group, Inc. | Community/Behavioral Health | 27 Jackson St Apt 422, Lowell, MA 01852-2145 | 2014-11-05 |
| 1407984065 | Concord Valley Treatment Center | Community/Behavioral Health | 25-27 Central St, Lowell, MA 01852-1905 | 2007-03-02 |
| 1841824398 | Tori Kym Black | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-24 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1770128274 | Ilyssa Marie Andino | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-08 |
| 1033699202 | Community Resource Solutions Inc | Community/Behavioral Health | 256 Westford St, Lowell, MA 01851-2544 | 2018-08-17 |
| 1205352101 | Cinamon J. Blair | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-08-22 |
| Find all providers in LOWELL | ||||
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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.