Bridge Back to Life Inc
NPI 1194132175 · Mental Health Counselor · Bethpage, NY
Bridge Back to Life Inc is a Mental Health Counselor organization in Bethpage, NY (NPI 1194132175).
Provider details
- NPI number
- 1194132175
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gary Butchen, Executive Direc Tor(212) 679-4960
- License
- 003103 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-22
- Last updated
- 2014-07-22
Frequently asked questions
- What is Bridge Back to Life Inc's NPI number?
- Bridge Back to Life Inc's National Provider Identifier (NPI) is 1194132175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge Back to Life Inc?
- Bridge Back to Life Inc is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Bridge Back to Life Inc located?
- Bridge Back to Life Inc's practice location on file with NPPES is 4271 Hempstead Tpke, Bethpage, NY 11714-5708.
- What is Bridge Back to Life Inc's phone number?
- The practice phone number listed in the NPPES registry for Bridge Back to Life Inc is (516) 520-6600.
- Who is the authorized official for Bridge Back to Life Inc?
- The authorized official listed on Bridge Back to Life Inc's NPPES record is Gary Butchen, Executive Direc Tor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge Back to Life Inc's NPI active?
- Yes — Bridge Back to Life Inc's NPI (1194132175) is active in the NPPES registry as of the last update on 2014-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.