COMMUNITY BRIDGES, INC. (NPI# 1508124488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508124488 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Practice Address |
1855 W Baseline Rd Suite 101 Mesa AZ 85202-9000 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2015-02-16 |
| Authorized Official Name | JOHN HOGEBOOM (VP/COO) |
| Authorized Official Telephone | 4808317566 |
| Authorized Official Credential | LISAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 763295 | 05 |
| 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 |
1855 W BASELINE RD SUITE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114442 | Tlgs Network LLC | Case Management | 1855 W Baseline Rd, Ste 260, Mesa, AZ 85202-9004 | 2005-06-14 |
| 1295370401 | Anthony Wanjohi Kimani | Nurse Practitioner | 1855 W Baseline Rd, Mesa, AZ 85202-9000 | 2019-11-12 |
| 1659839249 | Tinisha Lynn Johnston | Registered Nurse | 1855 W Baseline Rd, Mesa, AZ 85202-9000 | 2019-03-04 |
| 1629516786 | Diana Martorana | Counselor | 1855 W Baseline Rd, Ste 101, Mesa, AZ 85202-9000 | 2017-02-08 |
| 1730631524 | Matthew David King | Counselor | 1855 W Baseline Rd, Ste 101, Mesa, AZ 85202-9000 | 2016-10-27 |
| 1760933154 | Community Bridges, Inc. | Case Management | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2016-10-20 |
| 1801252200 | Heather Lynn Berger | Counselor | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2016-01-14 |
| 1770833345 | Mary Elizabeth Tinelli | Nurse Practitioner | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2012-09-11 |
| 1114296159 | Michelle E North | Nurse Practitioner | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202 | 2011-12-20 |
| 1891789509 | Debra M Gelman | Anesthesiology | 1855 W Baseline Rd, Ste 101, Mesa, AZ 85202-9000 | 2005-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| 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 |
|---|---|---|---|---|
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1073120390 | Harmony Behavioral Home LLC | Community/Behavioral Health | 5437 E Harmony Ave, Mesa, AZ 85206-6750 | 2020-09-30 |
| 1992311716 | Life Force Community Services | Community/Behavioral Health | 1237 S Val Vista Dr Ste 113, Mesa, AZ 85204-6401 | 2020-09-17 |
| 1326650417 | Fresh Start Rescource Center LLC | Community/Behavioral Health | 840 E Mckellips Rd Ste 109, Mesa, AZ 85203-9654 | 2020-08-19 |
| 1679182745 | A Nod To Veterans LLC | Community/Behavioral Health | 2436 S Lennox, Mesa, AZ 85209-6663 | 2020-07-24 |
| 1205452117 | Md Life Strategies, Inc | Community/Behavioral Health | 7435 E Main St, Mesa, AZ 85207-8337 | 2020-06-17 |
| 1346864147 | Rising Youth LLC | Community/Behavioral Health | 5948 E Fountain Cir, Mesa, AZ 85205-5513 | 2020-06-08 |
| 1225659121 | Amazing Hope LLC | Community/Behavioral Health | 7103 E Onza Ave, Mesa, AZ 85212-9811 | 2020-05-01 |
| 1912535337 | Harmony Family Services II | Community/Behavioral Health | 2812 N Norwalk Ste 103, Mesa, AZ 85215-1148 | 2020-03-31 |
| 1528692118 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N Mesa Dr Ste 116b, Mesa, AZ 85201-5974 | 2020-02-24 |
| Find all providers in MESA | ||||
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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.