NPI Code Details Logo

NPI 1861377343

NPI 1861377343 : HARMONY BRIDGE SERVICES : WEST NEW YORK, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861377343
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HARMONY BRIDGE SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/06/2025
-----------------------------------------------------
    Last Update Date     |    01/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    560 60TH ST 
-----------------------------------------------------
    City                 |    WEST NEW YORK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07093-1329
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-430-9672
-----------------------------------------------------
    Fax                  |    862-416-2568
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    449 60TH ST FL 2 
-----------------------------------------------------
    City                 |    WEST NEW YORK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07093-2211
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-430-9672
-----------------------------------------------------
    Fax                  |    862-416-2568
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     RAFAEL  JIMENEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    718-973-0677
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.