BRIDGEPORT HOSPITAL (NPI# 1609928134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609928134 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT HOSPITAL |
| Practice Address |
267 Grant St Bridgeport CT 06610-2805 |
| Practice Telephone | 2033843775 |
| Mailing Telephone | 2033843775 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | MR. PATRICK MCCABE (SR. VP OF FINANCE & CFO) |
| Authorized Official Telephone | 2033843775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0040 | CT | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004041703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1174147052 | Bridgeport Hospital | Internal Medicine | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-06-05 |
| 1205362423 | Bridgeport Hospital | General Acute Care Hospital | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-05-08 |
| 1275072985 | Bridgeport Hospital | Clinic/Center | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-02-14 |
| 1962952671 | Bridgeport Hospital | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-10-05 |
| 1871807446 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-08-05 |
| 1568613040 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-10-02 |
| 1508038282 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-04-02 |
| 1992910152 | Bridgeport Hospital | General Acute Care Hospital | 267 Grant Street, Bridgeport, CT 06610 | 2007-05-11 |
| 1790837227 | Bridgeport Hospital | Rehabilitation Unit | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIDGEPORT HOSPITAL | 267 Grant St, Bridgeport, CT 06610-2805 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL | 267 Grant Street, Bridgeport, CT 06610 |
| Connecticut Business Registrations | BRIDGEPORT HOSPITAL FRIENDS OF PEDIATRICS, INC. | Jennifer Willcox, Esq., Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 |
| Street Address |
267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818376 | Anthony Peluso | Anesthesiology | 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 | 2005-08-16 |
| 1992306138 | Anna Maria Clabby | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-11-04 |
| 1336756519 | Jane Silva | Physical Medicine & Rehabilitation | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-30 |
| 1407461890 | Mary Antonette Evangelista Cordon | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-11 |
| 1467064022 | Courtney Alexandra Irving | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-08-17 |
| 1528677416 | Britnia St. Pierre | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-07-27 |
| 1881203040 | Adrianna Janelle Sutfin | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-23 |
| 1750990081 | Allison Jamie Stark | Nurse Anesthetist, Certified Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-22 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1730797549 | Laura Bienashski | Student in an Organized Health Care Education/Training Program | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154335909 | Svmc Holdings, Inc | Psychiatric Unit | 2800 Main St, Bridgeport, CT 06606-4201 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295910966 | Danbury Office of Physician Services | Psychiatric Unit | 18 Great Plain Rd, Danbury, CT 06810-5022 | 2007-12-31 |
| 1407102312 | Gavrosh Faylayev | Psychiatric Unit | 200 Retreat Ave, Hartford, CT 06106-3309 | 2012-07-28 |
| 1891097879 | Family Psychiatric Services, LLC | Psychiatric Unit | 1 Evergreen Ave, Suite 34, Hamden, CT 06518-2717 | 2010-11-24 |
| 1891027728 | Natchaug Hospital | Psychiatric Unit | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2010-02-03 |
| 1326375486 | Yale University | Psychiatric Unit | 300 George St, Suite 901, New Haven, CT 06511-6624 | 2009-11-11 |
| 1770714453 | New England Psychiatric Associates LLC | Psychiatric Unit | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | 2009-07-29 |
| 1649418575 | Echn Johnson Memorial Hospital, Inc. | Psychiatric Unit | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-01-30 |
| 1861652604 | Hartford Hospital | Psychiatric Unit | 80 Seymour St, Hartford, CT 06102-8000 | 2008-06-16 |
| 1578769758 | Yale-new Haven Hospital | Psychiatric Unit | 230 South Frontage Road, Nihb205, New Haven, CT 06520-7900 | 2007-06-25 |
| 1306960596 | Vassar Health Connecticut, Inc. | Psychiatric Unit | 50 Hospital Hill Rd, Sharon, CT 06069 | 2007-03-16 |
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| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.