=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649168006
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIDGE PSYCHIATRY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2025
-----------------------------------------------------
Last Update Date | 11/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 FEDERAL ST STE 220
-----------------------------------------------------
City | GREENFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01301-2592
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-225-2792
-----------------------------------------------------
Fax | 833-941-2303
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 55 FEDERAL ST STE 220
-----------------------------------------------------
City | GREENFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01301-2592
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-484-9009
-----------------------------------------------------
Fax | 833-764-4876
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DEAN W SINGER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 413-225-2792
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0804X
-----------------------------------------------------
Taxonomy Name | Child & Adolescent Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------