Bright Act Behavioral Center Llc

LBN: Bright Act Behavioral Center Llc
Bright Act Behavioral Center Llc is an health care organization with primary practice located at 100 Grove St Ste 217C , Worcester MA 01605-2647. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Bright Act Behavioral Center Llc can be contacted via phone (774) 431-0272, or through Waithanji, Anthony N via phone (508) 524-0323.

Contact Information

Primary practice address
100 Grove St Ste 217C Worcester MA 01605-2647
Phone: (774) 431-0272
Fax: (949) 862-8636
Website:
Map and Directions
Authorized official contact:
Name: Waithanji, Anthony N
Phone: (508) 524-0323

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1568120343
LBN Legal business name Bright Act Behavioral Center Llc
DBA Doing business as
Authorized official Waithanji, Anthony N
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2021
Last updated Jan 24th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568120343 NPPES
Massachusetts MEDICAID 110189082A

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