Active NPI
Bright Moments Therapy & Consultation Services Inc.
- Clinical Social Worker
- Berkeley, CA
National Provider Identifier
1063170405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BRIGHT MOMENTS THERAPY & CONSULTATION SERVICES INC.
- Practice address
- 3220 Sacramento St
Berkeley, CA 94702-2726 - Phone
- (510) 593-8988
- NPI assigned
- Dec 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nakia Linzie-Shavers, LCSW
- Title
- Ceo
- Phone
- (510) 593-8988
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3220 Sacramento St
Berkeley, CA 94702-2726
Mailing address
PO Box 71384
Oakland, CA 94612-7584
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Berkeley, CA
- NPI 1437713765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638403200000",
"number": "1063170405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71384",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946127584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 SACRAMENTO ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947022726",
"telephone_number": "510-593-8988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT MOMENTS THERAPY & CONSULTATION SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A",
"authorized_official_last_name": "LINZIE-SHAVERS",
"authorized_official_first_name": "NAKIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-593-8988",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.