CITY OF BRIDGEPORT HEALTH DEPT SCHOOL BASED HEALTH CENTER (NPI# 1568581908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568581908 |
| Entity Type | Organization |
| Organization Name | CITY OF BRIDGEPORT HEALTH DEPT SCHOOL BASED HEALTH CENTER |
| Other Organization Name | BLACKHAM ELEMENTARY SCHOOL BASED HEALTH CENTER |
| Practice Address |
425 Thorme St Bridgeport CT 06606-3418 |
| Mailing Address |
752 E Main St Bridgeport CT 06608-2335 |
| Practice Telephone | 2035767815 |
| Mailing Telephone | 2035767052 |
| Mailing Fax Number | 2033325641 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MIRIAN EVANS (DIRECTOR OF HEALTH) |
| Authorized Official Telephone | 2035767680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Blackham Elementary School Based Health Center | Doing Business As Name - Organization |
| Street Address |
425 THORME ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043685308 | Asena Derohannesian | Nurse Practitioner | 425 Thorme St, Bridgeport, CT 06606-3418 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114046273 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 130 Ezra St, Bridgeport, CT 06606-5061 | 2007-03-28 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1881713246 | City of Bridgeport Health Dept. School Based Health Centers | Clinic/Center | 275 George St, Bridgeport, CT 06604-3320 | 2007-03-28 |
| 1467571893 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 1734 Central Ave, Bridgeport, CT 06610-2763 | 2007-03-28 |
| 1477678191 | City of Bridgeport Department of Health | Clinic/Center | 1181 Fairfield Ave, Bridgeport, CT 06605-1183 | 2007-03-20 |
| 1841319803 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 680 Park Ave, Bridgeport, CT 06604-4610 | 2007-03-28 |
| 1124147244 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 700 Palisade Ave, Bridgeport, CT 06610-3457 | 2007-03-28 |
| 1194840827 | City of Bridgeport Department of Health | Clinic/Center | 1 Lincoln Blvd, Bridgeport, CT 06606-5502 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725878 | Emily Garber Aprn, Pllc | Clinic/Center | 6515 Main St Ste 1l, Trumbull, CT 06611-6350 | 2020-03-22 |
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1265098180 | Wheeler Clinic Inc | Clinic/Center | 855 Lakewood Rd, Waterbury, CT 06704-5408 | 2019-05-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1326469024 | Sugati Health and Wellness | Clinic/Center | 37 W Town St, Lebanon, CT 06249-1536 | 2013-12-23 |
| 1225379837 | H. Robert Silverstein Md Facc PC | Clinic/Center | 1000 Asylum Ave Ste 2109, Hartford, CT 06105-1719 | 2013-03-06 |
| 1003167701 | Stec Md Clinic PC | Clinic/Center | 31 Strawberry Hill Ave Ste 104, Stamford, CT 06902-2681 | 2012-09-21 |
| 1477719839 | Woodbury Walk-in Clinic, LLC | Clinic/Center | 238 Main St S, Woodbury, CT 06798-3407 | 2008-08-04 |
| 1063693935 | Boylan Chiropractic LLC | Clinic/Center | 2 Library Place, Bethel, CT 06801-2106 | 2007-11-20 |
| 1831311257 | Guilford Chiropractic Wellness LLC | Clinic/Center | 728 Long Hill Rd, Guilford, CT 06437 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on CITY OF BRIDGEPORT HEALTH DEPT SCHOOL BASED HEALTH CENTER.
| 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.