Organization Active NPI

Brightermindandmentalwellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, MD
National Provider Identifier
1003773631
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRIGHTERMINDANDMENTALWELLNESS LLC
Practice address
8222 Schultz Rd Ste 102
Clinton, MD 20735-2607
Phone
(240) 899-1534
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ademola Bisiriyu, PMHNPNPI 1649955139
Title
Owner
Phone
(202) 704-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8222 Schultz Rd Ste 102
Clinton, MD 20735-2607

Mailing address

8222 Schultz Rd Ste 102
Clinton, MD 20735-2607
Phone (240) 899-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316003100 MD Part B Supplier - Clinic/Group Practice 8628551801 Receives reassigned benefits from 3 practitioners
Practice locations: Clinton, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1003773631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 SCHULTZ RD STE 102",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352607",
            "telephone_number": "240-899-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 SCHULTZ RD STE 102",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352607",
            "telephone_number": "240-899-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTERMINDANDMENTALWELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "BISIRIYU",
        "authorized_official_first_name": "ADEMOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-704-8741",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.