WESTBRIDGE INC (NPI# 1750780227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750780227 |
| Entity Type | Organization |
| Organization Name | WESTBRIDGE INC |
| Practice Address |
275 Mystic Ave Ste C Medford MA 02155-6301 |
| Mailing Address |
1361 Elm St Ste 207 Manchester NH 03101-1324 |
| Practice Telephone | 7813962793 |
| Mailing Telephone | 6036344446 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Authorized Official Name | MR. JONATHAN ROUTHIER (COO) |
| Authorized Official Telephone | 6036344446 |
| Authorized Official Credential | MBA, MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTBRIDGE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 03076 | NH | Residential Treatment Facilities |
| Street Address |
275 MYSTIC AVE STE C |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790234284 | Shawn Grace | Physical Therapist | 275 Mystic Ave, Medford, MA 02155-6301 | 2016-09-26 |
| 1255791638 | Miriam Yasgur | Counselor | 275 Mystic Ave, #2a, Medford, MA 02155-6301 | 2016-02-29 |
| 1083080253 | Leona Tevari | Counselor | 275 Mystic Ave, Suite 2a, Medford, MA 02155-6301 | 2015-08-11 |
| 1114315579 | Boston Physical Therapy & Wellness, Inc | Physical Therapist | 275 Mystic Ave, Ste. C, Medford, MA 02155-6301 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508218553 | Columbiacare Serices | Community Based Residential Treatment Facility, Mental Illness | 1998 Sky Park Dr Ste 102, Medford, OR 97504-5395 | 2016-07-01 |
| 1003262106 | Catholic Charities Diocese of Trenton | Community Based Residential Treatment Facility, Mental Illness | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-06 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1134270341 | Laurel Hill Inn, Ltd | Community Based Residential Treatment Facility, Mental Illness | 121 Mystic St, Medford, MA 02155-3463 | 2007-01-15 |
| 1861918278 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 2016 Terrel Dr, Medford, OR 97501-8154 | 2017-08-17 |
| 1548511694 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 1911 Hazel Ave, Medford, OR 97501-1630 | 2012-09-28 |
| 1508126368 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504-4004 | 2012-05-25 |
| 1104186014 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504-4004 | 2012-05-24 |
| 1780988253 | Jackson County Mental Health | Community Based Residential Treatment Facility, Mental Illness | 1911 Hazel Ave, Medford, OR 97501-1630 | 2010-12-27 |
| 1649466475 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504 | 2007-09-14 |
| Find all providers in MEDFORD | ||||
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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.