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Bridge Back To Life Center, Inc.

Clinical Social Worker in Bethpage, NY · enumerated 2014 · authorized official Gary Butchen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265859078

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Registry record

Entity type Organization (Type 2)
Legal business name Bridge Back To Life Center, Inc.
Practice address 4271 Hempstead Tpke, Bethpage, NY, 11714
Fax (212) 520-6750
Enumeration date Mar 19, 2014
Last updated in NPPES Nov 7, 2018

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 160310678 (NY) Primary
163WA0400X Addiction (Substance Use Disorder) Registered Nurse Nursing Service Providers · License 160310678 (NY) Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Gary Butchen
Title President

Other identifiers

Identifier Type State Issuer
01439087 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bridge Back To Life Center, Inc.?
The NPI for Bridge Back To Life Center, Inc. is 1265859078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bridge Back To Life Center, Inc.?
NPPES lists Gary Butchen (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-07.