COLLABORATION HEALTHCARE CORP
NPI 1689348534
Nurse Practitioner - Primary Care in Bridgeport, CT

Active since August 04, 2021CLIA 07D2239525 · Waiver
725 PARK AVE, BRIDGEPORT, CT 06604(203) 947-2147 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collaboration Healthcare Corp NPPES

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

COLLABORATION HEALTHCARE CORP (NPI 1689348534) is a healthcare organization registered as a primary care in Bridgeport, Connecticut and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Irene A Bihl, Founder, as its authorized official.

NPPES Registry Identity

NPI1689348534
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCOLLABORATION HEALTHCARE CORP
Location Address725 PARK AVEBridgeport, CT 06604-4619
Mailing Address807 Smith Ridge RdNew Canaan, CT 06840-3230 · (203) 947-2147
Organization SubpartNo
Authorized OfficialIrene A BihlFounder · (203) 947-2147
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
NPI 1689348534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
725 PARK AVE, Bridgeport, CT 06604

Other Identifiers 1

Medicaid1CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2239525

Collaboration Healthcare Corp D/B/A Sage Healthcare · Bridgeport, CT
Active · expires Oct 11, 2027
CLIA Number07D2239525
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorIrene A. Bihl Aprn
Laboratory Phone(203) 947-2147
Laboratory LocationCollaboration Healthcare Corp D/B/A Sage Healthcare725 Park Ave, Bridgeport, CT 06604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
725 PARK AVE
BRIDGEPORT, CT 06604
Speech-Language Pathologist
725 PARK AVE
BRIDGEPORT, CT 06604
Nurse Practitioner (Family)
725 PARK AVE
BRIDGEPORT, CT 06604

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 Collaboration Healthcare Corp's NPI number?

The NPI number for Collaboration Healthcare Corp is 1689348534. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Collaboration Healthcare Corp located?

Collaboration Healthcare Corp is located at 725 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 947-2147.

What is Collaboration Healthcare Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Collaboration Healthcare Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2239525) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collaboration Healthcare Corp was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.