Organization Active NPI

Bright Minds Developmental Center

  • Behavior Analyst
  • Encino, CA
National Provider Identifier
1013580521
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHT MINDS DEVELOPMENTAL CENTER
Practice address
17421 Collins St
Encino, CA 91316-1310
Phone
(818) 457-1117
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Nazanin Mostadim, DR
Title
Ceo
Phone
(818) 457-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

17421 Collins St
Encino, CA 91316-1310

Mailing address

17421 Collins St
Encino, CA 91316-1310
Phone (818) 457-1117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1013580521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17421 COLLINS ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161310",
            "telephone_number": "818-457-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 COLLINS ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161310",
            "telephone_number": "818-457-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MINDS DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "MOSTADIM",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-457-1117",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.