BRIGHT MINDS PSYCHIATRY,PLLC (NPI# 1922666866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922666866 |
| Entity Type | Organization |
| Organization Name | BRIGHT MINDS PSYCHIATRY,PLLC |
| Practice Address |
575 Washington St Ste 1b Canton MA 02021-3011 |
| Practice Telephone | 5083758980 |
| Practice Fax Number | 5087345005 |
| Mailing Telephone | 5083758980 |
| Mailing Fax Number | 5087345005 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | MR. BRYAN TERAN-ZUNIGA (OWNER) |
| Authorized Official Telephone | 5083758980 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
575 WASHINGTON ST STE 1B |
| City | CANTON |
| State | MA |
| Zip Code | 02021-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914970 | Nancy Louise Bennett | Nurse Practitioner | 328 E Otto St, Canton, MS 39046-4324 | 2018-12-20 |
| 1790227544 | Priscilla Anne Rice | Nurse Practitioner | 1271 Fulton Rd Nw, Canton, OH 44703-1463 | 2016-11-10 |
| 1306824784 | Kathy E Green | Nurse Practitioner | 80 State St # 310, Canton, NY 13617-1026 | 2006-01-05 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| 1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
| 1417502535 | Tiffany Nichol Brown | Nurse Practitioner | 1223 Market Ave N, Canton, OH 44714-2603 | 2019-08-06 |
| 1568022051 | Christopher Fogarty | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-06-17 |
| 1184105223 | Elizabeth Pfalzgraf | Nurse Practitioner | 919 2nd St Ne, Canton, OH 44704-1132 | 2018-08-27 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1306331723 | Ashley Krusel | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2018-06-27 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.