Mystic Bridge to Wellness, LLC
NPI 1750044509 · Community/Behavioral Health Agency · Mystic, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mystic Bridge to Wellness, LLC is a Community/Behavioral Health Agency organization in Mystic, CT (NPI 1750044509).
Provider details
- NPI number
- 1750044509
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lauren St. Amour, Clinician(617) 416-0597
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-10-19
- Last updated
- 2021-10-22
- Certified
- 2021-10-22
Frequently asked questions
- What is Mystic Bridge to Wellness, LLC's NPI number?
- Mystic Bridge to Wellness, LLC's National Provider Identifier (NPI) is 1750044509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Bridge to Wellness, LLC?
- Mystic Bridge to Wellness, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Mystic Bridge to Wellness, LLC located?
- Mystic Bridge to Wellness, LLC's practice location on file with NPPES is 47 Water St Ste 202, Mystic, CT 06355-2573.
- What is Mystic Bridge to Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mystic Bridge to Wellness, LLC is (617) 416-0597.
- Does Mystic Bridge to Wellness, LLC accept Medicare?
- Mystic Bridge to Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mystic Bridge to Wellness, LLC?
- The authorized official listed on Mystic Bridge to Wellness, LLC's NPPES record is Lauren St. Amour, Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Bridge to Wellness, LLC's NPI active?
- Yes — Mystic Bridge to Wellness, LLC's NPI (1750044509) is active in the NPPES registry as of the last update on 2021-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.