BRIDGE OF CHANGES (NPI# 1710597406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710597406 |
| Entity Type | Organization |
| Organization Name | BRIDGE OF CHANGES |
| Practice Address |
215 Berkshire Ave Springfield MA 01109-1638 |
| Mailing Address |
17 Basil Rd Chicopee MA 01020-4938 |
| Practice Telephone | 4132068674 |
| Mailing Telephone | 1413885396 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | MARIA IVETTE SANTANA (CEO) |
| Authorized Official Telephone | 1413885396 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maria Santana | Doing Business As Name - Organization |
| Street Address |
215 BERKSHIRE AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01109-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479892 | Ethan Chase | Dentist | 555 State Street, Dental Dreams, Springfield, MA 01109 | 2015-02-11 |
| 1043591423 | Victoria A Jones | Counselor | 1104 Street Street, Suite 2d, Springfield, MA 01109 | 2011-08-30 |
| 1093043879 | Lee Ann Callagher | Occupational Therapist | 807 Wilbraham Rd., Springfield, MA 01109 | 2009-12-07 |
| 1740424993 | Pamela Joan Aselton | Nurse Practitioner | 263 Alden Street, Springfield College Health Service, Springfield, MA 01109 | 2009-04-30 |
| 1225642507 | Emma V Slater | Student in an Organized Health Care Education/Training Program | 263 Alden St, Springfield, MA 01109 | 2020-09-03 |
| 1184253239 | Hye Young Shin | Dentist | 555 State St, Springfield, MA 01109 | 2020-04-01 |
| 1225662992 | Mary Catherine Becker | Student in an Organized Health Care Education/Training Program | 263 Alden Street, Springfield, MA 01109 | 2020-03-02 |
| 1235630856 | Kathryn O'brien | Student in an Organized Health Care Education/Training Program | 11 Wilbraham Rd, Springfield, MA 01109 | 2018-02-28 |
| 1174074736 | Candace Griffith | Counselor | 140 High St., Suite 230, Springfield, MA 01109 | 2016-10-19 |
| 1356730279 | Pedro Ferrer | Counselor | 332 Birnie Ave, Springfield, MA 01109 | 2015-01-15 |
| Find all providers in zip 01109 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024754 | Chrysalis Wellness LLC | Clinic/Center | 3863 S Campbell Ave Ste A, Springfield, MO 65807-5339 | 2020-02-07 |
| 1275178451 | Awaken360, Inc. | Clinic/Center | 829 W Atlantic St, Springfield, MO 65803-1517 | 2019-11-12 |
| 1235693623 | Eyes On Therapy | Clinic/Center | 1207 N Plum St Ste A, Springfield, OH 45504-1865 | 2019-01-30 |
| 1912474586 | Hope Source Counseling | Clinic/Center | 1736 E Sunshine St Ste 813, Springfield, MO 65804-1334 | 2018-10-31 |
| 1760964910 | Wellness for The Culture LLC | Clinic/Center | 44 Superior Ave, Springfield, MA 01151-1836 | 2018-09-04 |
| 1003315177 | Counter Balance | Clinic/Center | 56 Main St Ste 212, Springfield, VT 05156-2945 | 2018-02-05 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1326296856 | Gateway Foundation, Inc. | Clinic/Center | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2008-09-09 |
| 1134380405 | Drd Management, Inc | Clinic/Center | 404 East Battlefield, Springfield, MO 65807 | 2008-06-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01109 |
Please comment or provide details below to improve the information on BRIDGE OF CHANGES.
| 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.