THE BRIDGE AUTISM CLINIC LLC
NPI 1568017374
Clinic/Center - Adolescent and Children Mental Health in St Paul, MN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Bridge Autism Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to The Bridge Autism Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is The Bridge Autism Clinic LLC enrolled in Medicare?
Yes. The Bridge Autism Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Bridge Autism Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to The Bridge Autism Clinic LLC, in Occupational Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# The Bridge Autism Clinic Llc · NPI 1568017374
Adolescent and Children Mental Health organization in St Paul, Minnesota. Organization record, active in the CMS NPPES registry since August 8, 2019.
## Identity
- **NPI:** 1568017374 (Entity type: Organization)
- **Enumerated:** August 8, 2019
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** Yes (part of The Bridge Autism Clinic Llc)
- **Authorized official:** Melissa Hamilton, DIRECTOR CEO
## Practice location
- **Address:** 690 CLEVELAND AVE SOUTH, SUITE 100, St Paul, MN 55116
- **Phone:** (612) 216-4647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (1), Qualified Speech Language Pathologist (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1568017374) · Data from the CMS NPPES public registry.