BRIDGE BACK TO LIFE CENTER, INC.
NPI 1265859078
Social Worker - Clinical in Bethpage, NY

NPI Status: Active since March 19, 2014

Contact Information

4271 HEMPSTEAD TPKE
BETHPAGE, NY
ZIP 11714
Phone: (516) 520-6600
Fax: (212) 520-6750

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  • Organization
  • Social Worker
  • Clinical

About BRIDGE BACK TO LIFE CENTER, INC.

This page provides the complete NPI Profile along with additional information for Bridge Back To Life Center, Inc., a provider established in Bethpage, New York operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1265859078 assigned on March 2014. The practitioner's primary taxonomy code is 1041C0700X with license number 160310678 (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. Bridge Back To Life Center, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Gary Butchen Lcsw-r, Sap (President)

NPI
1265859078
Provider Name
BRIDGE BACK TO LIFE CENTER, INC.
Entity Type
Organization
Location Address
4271 HEMPSTEAD TPKE BETHPAGE, NY 11714
Location Phone
(516) 520-6600
Location Fax
(212) 520-6750
Mailing Address
4271 HEMPSTEAD TPKE BETHPAGE, NY 11714
Mailing Phone
(516) 520-6600
Mailing Fax
(212) 520-6750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2014
Last Update Date
11-07-2018
Code Navigator

A clinical social worker like Bridge Back To Life Center, Inc. is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
160310678
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

160310678 (NY)
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GARY BUTCHEN LCSW-R, SAP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(516) 520-6600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01439087MEDICAID (05)NY 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265859078, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 5 + 1 + 8 + 0 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1265859078.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Critical Care Medicine)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Social Worker
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Mental Health)
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Counselor (Addiction (Substance Use Disorder))
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Social Worker (Clinical)
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Social Worker
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Social Worker (Clinical)
4271 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Internal Medicine (Pulmonary Disease)
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714
Physician Assistant
4271 HEMPSTEAD TPKE, SUITE 1
BETHPAGE, NY 11714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265859078, enumerated as an "organization" on March 19, 2014.

The provider is located at 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 and the phone number is (516) 520-6600.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.