THE BRIDGE AUTISM CLINIC LLC
NPI 1568017374
Clinic/Center - Adolescent and Children Mental Health in St Paul, MN

Q: What is The Bridge Autism Clinic LLC's NPI number?

The NPI number for The Bridge Autism Clinic LLC is 1568017374. It was assigned to this organization in the NPPES registry on August 8, 2019.

Q: What is The Bridge Autism Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since August 08, 2019

690 CLEVELAND AVE SOUTH, SUITE 100, ST PAUL, MN 55116(612) 216-4647 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2019, Aug 8, 2019 (2 updates tracked since 2019).

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About The Bridge Autism Clinic Llc NPPES

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

THE BRIDGE AUTISM CLINIC LLC (NPI 1568017374) is a healthcare organization registered as an adolescent and children mental health in St Paul, Minnesota and active in the NPI registry since August 2019. The organization lists Melissa Hamilton, Director Ceo, as its authorized official.

NPPES Registry Identity

NPI1568017374

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameTHE BRIDGE AUTISM CLINIC LLC

Location Address690 CLEVELAND AVE SOUTH, SUITE 100St Paul, MN 55116

Mailing Address690 Cleveland Ave S # 100Saint Paul, MN 55116-1319

Phone(612) 216-4647

Organization SubpartYes

Authorized OfficialMelissa HamiltonDirector Ceo · (651) 493-8412

Enumeration DateAugust 8, 2019

Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration

✔ NPI 1568017374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

690 CLEVELAND AVE SOUTH, St Paul, MN 55116

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Other Providers at the Same Location NPPES

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

SYDNIE BEAVER

Behavior Analyst

690 CLEVELAND AVE SOUTH, SUITE 100
ST.PAUL, MN 55116

Ramsey County (651) 493-8412

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 The Bridge Autism Clinic LLC's NPI number?

The NPI number for The Bridge Autism Clinic LLC is 1568017374. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is The Bridge Autism Clinic LLC located?

The Bridge Autism Clinic LLC is located at 690 Cleveland Ave South Suite 100, St Paul, MN 55116. The listed phone number is (612) 216-4647.

What is The Bridge Autism Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for The Bridge Autism Clinic LLC was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.