OrganizationActive
The Bridge Autism Clinic LLC
NPI 1568017374 · Adolescent and Children Mental Health Clinic/Center · St Paul, MN
Provider details
- NPI number
- 1568017374
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- The Bridge Autism Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Melissa Hamilton, Director Ceo(651) 493-8412
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
690 Cleveland Ave South
Suite 100
St Paul, MN 55116
Phone: (612) 216-4647
Street-level locationGet directions
Mailing address
690 Cleveland Ave S # 100
Saint Paul, MN 55116-1319
Registry dates
- Enumerated
- 2019-08-08
- Last updated
- 2019-12-10
- Certified
- 2019-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.