HARBOR BRIDGE EMOTIONAL HEALTH, LLC
NPI 1144420175
Psychologist - Clinical in Greenwich, CT

Q: What is Harbor Bridge Emotional Health, LLC's NPI number?

The NPI number for Harbor Bridge Emotional Health, LLC is 1144420175. It was assigned to this organization in the NPPES registry on July 18, 2007.

Q: What is Harbor Bridge Emotional Health, LLC's specialty?

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

Active since July 18, 2007

406 W PUTNAM AVE, GREENWICH, CT 06830(203) 661-1054 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Harbor Bridge Emotional Health, Llc NPPES

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

HARBOR BRIDGE EMOTIONAL HEALTH, LLC (NPI 1144420175) is a healthcare organization registered as a clinical in Greenwich, Connecticut and active in the NPI registry since July 2007. The organization lists Cheryl K Wilczak, Owner, as its authorized official.

NPPES Registry Identity

NPI1144420175

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameHARBOR BRIDGE EMOTIONAL HEALTH, LLC

Location Address406 W PUTNAM AVEGreenwich, CT 06830-6215

Mailing Address406 W Putnam AveGreenwich, CT 06830-6215 · (203) 661-1054

Phone(203) 661-1054

Organization SubpartNo

Authorized OfficialCheryl K WilczakOwner · (203) 661-1054

Enumeration DateJuly 18, 2007

✔ NPI 1144420175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CT · 02766

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.

406 W PUTNAM AVE, Greenwich, CT 06830

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor Bridge Emotional Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Harbor Bridge Emotional Health, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cheryl Wilczak, PSY.D

Clinical Psychologist

NPI 1538290432

406 W PUTNAM AVE
Greenwich, CT 06830

(203) 675-9405

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Harbor Bridge Emotional Health, LLC's NPI number?

The NPI number for Harbor Bridge Emotional Health, LLC is 1144420175. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Harbor Bridge Emotional Health, LLC located?

Harbor Bridge Emotional Health, LLC is located at 406 W Putnam Ave, Greenwich, CT 06830. The listed phone number is (203) 661-1054.

What is Harbor Bridge Emotional Health, LLC's specialty?

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

Is Harbor Bridge Emotional Health, LLC enrolled in Medicare?

Yes. Harbor Bridge Emotional Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Bridge Emotional Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Harbor Bridge Emotional Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Harbor Bridge Emotional Health, LLC was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.