Clinical Bridge
Clinical Neuropsychologist in Southington, Connecticut
1235463845- Practice location
- 209 Main St, Southington, CT 06489-2539
- Phone
- 203-216-2036
- Fax
- —
- Last updated
- September 29, 2009
Clinical Bridge is a healthcare organization based in Southington, CT. Clinical Bridge practices in Southington, CT. The NPI Number for Clinical Bridge is 1235463845 and holds a License No. 001477 (CT). The current practice location address for Clinical Bridge is 209 Main St, Southington, CT 06489-2539 and can be reached out via phone at 203-216-2036.
Provider Profile Details
- NPI Number
- 1235463845
- Provider Name
- Clinical Bridge
- Provider Entity Type
- Organization
- Address
- 209 Main St, Southington, CT 06489-2539
- Phone Number
- 203-216-2036
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jonathan F. Michaelis, PHD · President · 203-216-2036
- Provider Enumeration Date
- September 29, 2009
- Last Update Date
- September 29, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 Main St
Southington, CT 06489-2539 - City
- Southington
- State
- Connecticut
- Zip
- 06489-2539
- Phone Number
- 203-216-2036
Provider Business Mailing Address Details
- Address
- 209 Main St
Southington, CT 06489-2539 - City
- Southington
- State
- CT
- Zip
- 06489-2539
- Phone Number
- 203-216-2036
License Information
- License Number (1)
- 001477
- License State (1)
- CT
- Taxonomy (1)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (2)
- 001477
- License State (2)
- CT
- Taxonomy (2)
- Clinical Neuropsychologist · 103G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clinical Bridge?
The NPI number of Clinical Bridge is 1235463845. It was assigned on September 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Clinical Bridge?
Clinical Bridge is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in CT under license number 001477.
Where does Clinical Bridge practice?
The practice location is 209 Main St, Southington, CT 06489-2539. The office can be reached at 203-216-2036 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235463845 directly on the NPPES registry website.