Active NPIOrganization

Brightside INC

Residential Treatment Facility, Emotionally Disturbed Children in W Springfield, Massachusetts

NPI Number1467673335
Practice location
2112 Riverdale St, W Springfield, MA 01089-1024
Fax
413-539-2454
Last updated
August 22, 2020

Brightside INC is a healthcare organization based in W Springfield, MA. Brightside INC practices in W Springfield, MA. The NPI Number for Brightside INC is 1467673335 and holds a License No. 1474833 (MA). The current practice location address for Brightside INC is 2112 Riverdale St, W Springfield, MA 01089-1024 and can be reached out via phone at 413-539-2973 and via fax at 413-539-2454.

Provider Profile Details

NPI Number
1467673335
Provider Name
Brightside INC
Provider Entity Type
Organization
Address
2112 Riverdale St, W Springfield, MA 01089-1024
Phone Number
413-539-2973
Fax Number
413-539-2454
Organization Subpart
No
Authorized Official
Robert L Devey · Chief Financial Officer · 413-748-9308
Provider Enumeration Date
May 1, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2112 Riverdale St
W Springfield, MA 01089-1024
Zip
01089-1024
Phone Number
413-539-2973
Fax Number
413-539-2454
W Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
Po Box 414484
Boston, MA 02241-4484
City
Boston
State
MA
Zip
02241-4484
Phone Number
413-539-2973
Fax Number
413-539-2454

License Information

License Number (1)
1474833
License State (1)
MA
License Number (2)
1475734
License State (2)
MA
License Number (3)
1475733
License State (3)
MA
License Number (4)
1475735
License State (4)
MA
License Number (5)
1475736
License State (5)
MA
License Number (6)
1475732
License State (6)
MA
License Number (7)
5877
License State (7)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brightside INC?

The NPI number of Brightside INC is 1467673335. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Brightside INC?

Brightside INC is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X), licensed in MA under license number 1474833.

Where does Brightside INC practice?

The practice location is 2112 Riverdale St, W Springfield, MA 01089-1024. The office can be reached at 413-539-2973 (phone) or 413-539-2454 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467673335 directly on the NPPES registry website.

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