Bridge Back to Life Center, Inc.
NPI 1790102051 · Clinical Social Worker · Staten Island, NY
Bridge Back to Life Center, Inc. is a Clinical Social Worker organization in Staten Island, NY (NPI 1790102051).
Provider details
- NPI number
- 1790102051
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gary Butchen, President(516) 520-6600
- License
- 141110677 (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
12 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
- 2014-03-25
- Last updated
- 2018-11-07
Frequently asked questions
- What is Bridge Back to Life Center, Inc.'s NPI number?
- Bridge Back to Life Center, Inc.'s National Provider Identifier (NPI) is 1790102051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge Back to Life Center, Inc.?
- Bridge Back to Life Center, Inc. is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bridge Back to Life Center, Inc. located?
- Bridge Back to Life Center, Inc.'s practice location on file with NPPES is 1688 Victory Blvd, Staten Island, NY 10314-3547.
- What is Bridge Back to Life Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bridge Back to Life Center, Inc. is (718) 447-5700.
- Who is the authorized official for Bridge Back to Life Center, Inc.?
- The authorized official listed on Bridge Back to Life Center, Inc.'s NPPES record is Gary Butchen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge Back to Life Center, Inc.'s NPI active?
- Yes — Bridge Back to Life Center, Inc.'s NPI (1790102051) is active in the NPPES registry as of the last update on 2018-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.