BRIDGE BACK TO LIFE, INC
NPI 1508194283
Clinic/Center - Rehabilitation, Substance Use Disorder in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

Active since November 18, 2009

2857 W 8TH ST, BROOKLYN, NY 11224(718) 265-4200(718) 265-8536 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder

About BRIDGE BACK TO LIFE, INC

This page provides the complete NPI Profile along with additional information for Bridge Back To Life, Inc, a provider established in Brooklyn, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1508194283 assigned on November 2009. The practitioner's primary taxonomy code is 261QR0405X with license number 080296 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ashley Anderson Lmsw (Social Worker)

NPI: 1508194283 Verify this NPI
Provider Name: BRIDGE BACK TO LIFE, INC
Entity Type: Organization
Location Address: 2857 W 8TH ST BROOKLYN, NY 11224
Location Phone: (718) 265-4200
Location Fax: (718) 265-8536
Mailing Address: 2857 W 8TH ST BROOKLYN, NY 11224
Mailing Phone: (718) 265-4200
Mailing Fax: (718) 265-8536
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-18-2009
Last Update Date: 11-18-2009
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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: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities
License No.: 080296
License State: NY

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: ASHLEY ANDERSON LMSW
Authorized Official Title: SOCIAL WORKER
Authorized Official Phone: (718) 265-4200

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
080296	OTHER (01)	NY	LMSW