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BRIDGE BACK TO LIFE INC
NPI 1194132175
Counselor - Mental Health in Bethpage, NY

Active since July 22, 2014
4271 HEMPSTEAD TPKE, BETHPAGE, NY 11714(516) 520-6600 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridge Back To Life Inc NPPES

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

BRIDGE BACK TO LIFE INC (NPI 1194132175) is a healthcare organization registered as a mental health in Bethpage, New York and active in the NPI registry since July 2014. The organization lists Gary Butchen, Executive Direc Tor, as its authorized official.

NPPES Registry Identity

NPI1194132175
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBRIDGE BACK TO LIFE INC
Location Address4271 HEMPSTEAD TPKEBethpage, NY 11714-5708
Mailing Address4271 Hempstead TpkeBethpage, NY 11714-5708 · (516) 520-6600
Phone(516) 520-6600
Organization SubpartNo
Authorized OfficialGary ButchenExecutive Direc Tor · (212) 679-4960
Enumeration DateJuly 22, 2014
✔ NPI 1194132175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 003103
4271 HEMPSTEAD TPKE, Bethpage, NY 11714
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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 20

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

SHARI ASHKIN CASAC
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 520-6600
ROMAINE GORDON CASAC
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 520-6600
MEDICAL TELEHEATH BLUE, PLLC
Internal Medicine
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 714-3766
ISLAND PULMONARY ASSOCIATION PC
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Nassau County (516) 796-3700
BREANNA FRED LMSW
Social Worker
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 520-6600
DR. VIKRAM CHABRA D.O.
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Nassau County (516) 796-3700
BRIDGE BACK TO LIFE CENTER, INC.
Social Worker (Clinical)
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 520-6600
BRENT RUSSELL LMSW
Social Worker
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 520-6600

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 Inc's NPI number?

The NPI number for Bridge Back To Life Inc is 1194132175. It was assigned to this organization in the NPPES registry on July 22, 2014.

Where is Bridge Back To Life Inc located?

Bridge Back To Life Inc is located at 4271 Hempstead Tpke, Bethpage, NY 11714. The listed phone number is (516) 520-6600.

What is Bridge Back To Life Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bridge Back To Life Inc was last updated on July 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.