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BRIGHTSIDE INC NPI 1467673335


NPI Information

NPI: 1467673335
Provider Name: BRIGHTSIDE INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2112 RIVERDALE ST
W SPRINGFIELD, MA
ZIP 01089
Phone: (413) 539-2973
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BRIGHTSIDE INC is a residential treatment facility emotionally disturbed children in W Springfield, MA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BRIGHTSIDE INC NPI is 1467673335. The provider is registered as an organization entity type.

The provider's business location address is:

2112 RIVERDALE ST
W SPRINGFIELD, MA
ZIP 01089-024
Phone: (413) 539-2973
Fax: (413) 539-2454

The provider's authorized official is Robert L Devey .
The authorized official title is Chief Financial Officer and has the following contact phone number (413) 748-9308.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children1474833MASSACHUSETTSNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed Children1475734MASSACHUSETTSNo
3322D00000XResidential Treatment Facility, Emotionally Disturbed Children1475733MASSACHUSETTSNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed Children1475735MASSACHUSETTSNo
5322D00000XResidential Treatment Facility, Emotionally Disturbed Children1475736MASSACHUSETTSNo
6322D00000XResidential Treatment Facility, Emotionally Disturbed Children1475732MASSACHUSETTSNo
7322D00000XResidential Treatment Facility, Emotionally Disturbed Children5877MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11305263MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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