JUDITH BRYANT
NPI 1487864989
Counselor - Addiction (Substance Use Disorder) in Bridgeport, CT

Active since May 23, 2007PECOS Enrolled
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 330-6054(203) 331-4716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Judith Bryant NPPES

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

JUDITH BRYANT (NPI 1487864989) is an individual addiction (substance use disorder) provider in Bridgeport, Connecticut, licensed in Connecticut (104100000X) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487864989
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJUDITH BRYANT
Location Address1046 FAIRFIELD AVEBridgeport, CT 06605-1116
Mailing Address1046 Fairfield AveBridgeport, CT 06605-1116 · (203) 330-6054 · Fax (203) 331-4716
Fax(203) 331-4716
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1487864989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CT · 104100000X
1046 FAIRFIELD AVE, Bridgeport, CT 06605

Other Names 1

Other Name (5)Judith Bryant Sa Counselor

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Judith Bryant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Mental Health)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Marriage & Family Therapist
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487864989, enumerated as an "individual" on May 23, 2007.

The provider is located at 1046 FAIRFIELD AVE BRIDGEPORT, CT 06605 and the phone number is (203) 330-6054.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).