BRIGHT ACT BEHAVIORAL CENTER LLC NPI 1568120343

NPI Information

NPI: 1568120343
Provider Name: BRIGHT ACT BEHAVIORAL CENTER LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
100 GROVE ST STE 217C
WORCESTER, MA
ZIP 01605
Phone: (774) 431-0272
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BRIGHT ACT BEHAVIORAL CENTER LLC is a psychiatric/mental health nurse practitioner in Worcester, MA. BRIGHT ACT BEHAVIORAL CENTER LLC NPI is 1568120343. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 GROVE ST STE 217C
WORCESTER, MA
ZIP 01605-647
Phone: (774) 431-0272
Fax: (949) 862-8636

The provider's authorized official is Anthony N Waithanji .
The authorized official title is Owner: Managing Director and has the following contact phone number (508) 524-0323.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 1/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
3	251S00000X	Community/Behavioral Health		No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110189082A	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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