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SOUTH- WEST COMMUNITY HEALTH CENTER, INC
NPI 1023675873
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bridgeport, CT

Active since May 28, 2019CLIA 07D0959909 · Microscopy
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 330-6000(203) 331-4716 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, May 28, 2019 (2 updates tracked since 2019).

About South- West Community Health Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH- WEST COMMUNITY HEALTH CENTER, INC (NPI 1023675873) is a healthcare organization registered as a mental health (including community mental health center) in Bridgeport, Connecticut and active in the NPI registry since May 2019. The organization holds a CLIA Microscopy certificate valid through August 12, 2026 and lists Mollie L Melbourne, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1023675873
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTH- WEST COMMUNITY HEALTH CENTER, INC
Location Address1046 FAIRFIELD AVEBridgeport, CT 06605-1116
Mailing Address46 Albion StBridgeport, CT 06605-2602 · (203) 330-6000 · Fax (203) 330-6008
Phone(203) 330-6000
Fax(203) 331-4716
Organization SubpartNo
Authorized OfficialMollie L MelbournePresident/ Ceo · (203) 330-6000
Enumeration DateMay 28, 2019
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1023675873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1046 FAIRFIELD AVE, Bridgeport, CT 06605
Open in Google Maps ↗

Other Identifiers 1

Medicaid004236148CT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D0959909

Southwest Community Health Center Inc · Bridgeport, CT
Active · expires Aug 12, 2026
CLIA Number07D0959909
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorDara Richards
Laboratory Phone(203) 330-6000
Laboratory LocationSouthwest Community Health Center Inc46 Albion St, Bridgeport, CT 06605
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHLEEN L. MANALIS
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
PATRICIA KOLBUSZ
Social Worker
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 612-3223
TARA CONCETTA O'NEIL LCSW
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MARILYN PRATT LMSW
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MEGAN LYNN BOURGUILLON
Counselor (Mental Health)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
NICOLE ALTBAUM-NASH
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
MS. LISA A. PRIBESH M.ED., LADC
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 332-3119
MEGAN DIANE SAMPSON LPC
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South- West Community Health Center, Inc's NPI number?

The NPI number for South- West Community Health Center, Inc is 1023675873. It was assigned to this organization in the NPPES registry on May 28, 2019.

Where is South- West Community Health Center, Inc located?

South- West Community Health Center, Inc is located at 1046 Fairfield Ave, Bridgeport, CT 06605. The listed phone number is (203) 330-6000.

What is South- West Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does South- West Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0959909) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South- West Community Health Center, Inc was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.