BRIDGE BACK TO LIFE CENTER, INC.
NPI 1184041998
Social Worker - Clinical in Brooklyn, NY

Q: What is Bridge Back To Life Center, Inc.'s NPI number?

The NPI number for Bridge Back To Life Center, Inc. is 1184041998. It was assigned to this organization in the NPPES registry on March 19, 2014.

Q: What is Bridge Back To Life Center, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 19, 2014

3044 CONEY ISLAND AVE, 3RD FLOOR, BROOKLYN, NY 11235(718) 265-4200(718) 265-8536 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Bridge Back To Life Center, Inc. NPPES

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

BRIDGE BACK TO LIFE CENTER, INC. (NPI 1184041998) is a healthcare organization registered as a clinical in Brooklyn, New York and active in the NPI registry since March 2014. The organization lists Gary Butchen, President, as its authorized official.

NPPES Registry Identity

NPI1184041998

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameBRIDGE BACK TO LIFE CENTER, INC.

Location Address3044 CONEY ISLAND AVE, 3RD FLOORBrooklyn, NY 11235-5660

Mailing Address4271 Hempstead TpkeBethpage, NY 11714-5708 · (516) 520-6600 · Fax (516) 520-6750

Phone(718) 265-4200

Fax(718) 265-8536

Organization SubpartNo

Authorized OfficialGary ButchenPresident · (516) 520-6600

Enumeration DateMarch 19, 2014

Last NPPES UpdateNovember 7, 2018

✔ NPI 1184041998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 141111254

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 141111254 (NY)

3044 CONEY ISLAND AVE, Brooklyn, NY 11235

Open in Google Maps ↗

Other Identifiers 1

Medicaid01439087NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

FATEMA DHARSEE P.A

Physician Assistant (Medical)

3044 CONEY ISLAND AVE
BROOKLYN, NY 11235

Kings County (718) 934-1400

BRIGHTON MEDICAL SERVICES PC

Exclusive Provider Organization

3044 CONEY ISLAND AVE, 1ST FLOOR
BROOKLYN, NY 11235

Kings County (718) 934-3000

MEGHAN ROONEY LMHC

Counselor (Mental Health)

3044 CONEY ISLAND AVE, 3RD FLOOR
BROOKLYN, NY 11235

Kings County (718) 265-4200

DR. OLGA TSIRESHKIN MD

Radiology (Diagnostic Radiology)

3044 CONEY ISLAND AVE, SUITE LL
BROOKLYN, NY 11235

Kings County (718) 891-2100

NORTH SHORE MEDICAL DIAGNOSTIC PC

Clinic/Center (Radiology)

3044 CONEY ISLAND AVE, 2ND FLOOR
BROOKLYN, NY 11235

Kings County (718) 934-1400

JOY MICHELLE RUEDA PT

Physical Therapist

3044 CONEY ISLAND AVE, 2ND FLOOR
BROOKLYN, NY 11235

Kings County (212) 359-9592

DR. EVGENY FINK M.D.

Psychiatry & Neurology (Psychiatry)

3044 CONEY ISLAND AVE, SUITE 201
BROOKLYN, NY 11235

Kings County (646) 442-4596

EMILY ARIKIAN LMSW

Social Worker

3044 CONEY ISLAND AVE, 3RD FLOOR
BROOKLYN, NY 11235

Kings County (718) 265-4200

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 Bridge Back To Life Center, Inc.'s NPI number?

The NPI number for Bridge Back To Life Center, Inc. is 1184041998. It was assigned to this organization in the NPPES registry on March 19, 2014.

Where is Bridge Back To Life Center, Inc. located?

Bridge Back To Life Center, Inc. is located at 3044 Coney Island Ave 3rd Floor, Brooklyn, NY 11235. The listed phone number is (718) 265-4200.

What is Bridge Back To Life Center, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bridge Back To Life Center, Inc. was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.