LAURA BRIDGE PSYD
NPI 1053765115
Psychologist - Clinical in Warren, NJ

Q: What is Laura Bridge's NPI number?

The NPI number for Laura Bridge is 1053765115. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Laura Bridge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Laura Bridge enrolled in Medicare?

No. Laura Bridge has opted out of Medicare through September 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Laura Bridge was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 14, 2016Opted out of Medicare · through Sep 16, 2026

2 NORTH RD, SUITE 3, WARREN, NJ 07059(908) 259-4664 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Sep 6, 2023, Jan 14, 2022 and 1 more (4 updates tracked since 2018).

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About Laura Bridge Psyd NPPES

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

LAURA BRIDGE PSYD (NPI 1053765115) is an individual clinical provider in Warren, New Jersey, licensed in New Jersey (6967) and active in the NPI registry since April 2016. She has opted out of Medicare through September 16, 2026.

NPPES Registry Identity

NPI1053765115

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLAURA BRIDGECredential: PSYD

Location Address2 NORTH RD, SUITE 3Warren, NJ 07059

Mailing Address2 North Rd Apt 3Warren, NJ 07059-7184 · (908) 259-4664

Phone(908) 259-4664

Sole ProprietorYes

Enumeration DateApril 14, 2016

Last NPPES UpdateOctober 3, 20234 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1053765115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NJ · 6967✔ Licensed in NY · 024741

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2 NORTH RD, Warren, NJ 07059

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Bridge Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2022 through September 16, 2026.

Opt-Out Effective DateSeptember 16, 2022

Opt-Out In Effect ThroughSeptember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

DR. BETH A CONLON PHD, RD

Dietitian, Registered

2 NORTH RD
WARREN, NJ 07059

Somerset County (908) 291-3609

FROM THE START NUTRITION LLC

Dietitian, Registered

2 NORTH RD
WARREN, NJ 07059

Somerset County (908) 291-3609

LAURISSA LYNN MALLOZZI HAMPTON LPC

Counselor (Mental Health)

2 NORTH RD
WARREN, NJ 07059

Somerset County (347) 274-5830

BRIDGING WELLNESS LLC

Community/Behavioral Health

2 NORTH RD, SUITE 3
WARREN, NJ 07059

Somerset County (908) 259-4664

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 Laura Bridge's NPI number?

The NPI number for Laura Bridge is 1053765115. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Laura Bridge located?

Laura Bridge practices at 2 North Rd Suite 3, Warren, NJ 07059. The listed phone number is (908) 259-4664.

What is Laura Bridge's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laura Bridge enrolled in Medicare?

No. Laura Bridge has opted out of Medicare through September 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Bridge was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.