NPIMap

Organization Active NPI

Brightlight Beheavior Group LLC

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1033579982
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTLIGHT BEHEAVIOR GROUP LLC
Practice address
424 Orange St
301
Oakland, CA 94610-2961
Phone
(510) 493-5491
Fax
(844) 635-4257
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Adrianna Moreno, BCBANPI 1831571181
Title
Executive Director
Phone
(510) 493-5491

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
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

424 Orange St
301
Oakland, CA 94610-2961

Mailing address

424 Orange St
301
Oakland, CA 94610-2961
Phone (510) 493-5491

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.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1033579982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ORANGE ST",
            "address_2": "301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102961",
            "telephone_number": "510-493-5491",
            "fax_number": "844-635-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ORANGE ST",
            "address_2": "301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102961",
            "telephone_number": "510-493-5491",
            "fax_number": "844-635-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLIGHT BEHEAVIOR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-493-5491",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.