Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Bridge

Organization Clinical Neuropsychologist · NPI 1235463845

Clinical Bridge is a Clinical Neuropsychologist in Southington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
Specialties on file
2

Practice location Address checks out

209 Main St
Southington, CT 06489-2539
Phone: (203) 216-2036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 001477 (CT)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 001477 (CT)

Record details

NPI number1235463845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Michaelis — President · (203) 216-2036
NPI enumeratedSeptember 29, 2009
Last updated in NPPESSeptember 29, 2009
Mailing address209 Main St, Southington, CT 06489-2539