NPIMap

Organization Active NPI

Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1073072658
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHTSIDE HEALTH, INC.
Practice address
5214F Diamond Heights Blvd # 345
San Francisco, CA 94131-2175
Phone
(415) 360-3348
NPI assigned
Mar 13, 2019
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Mirene Winsberg
Title
Administration
Phone
(415) 360-3348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

5214F Diamond Heights Blvd # 345
San Francisco, CA 94131-2175

Mailing address

2261 Market St Ste 10222
San Francisco, CA 94114-1612
Phone (415) 360-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, IN, OH, AL, UT, MS, ME, NM, SD, WY, HI, DC, AK, NE, DE, VT, WV18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20230612003054 MO Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 24 practitioners
Practice locations: Saint Louis, MO
O20230614002773 FL Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 129 practitioners
Practice locations: Jacksonville, FL
O20230615001392 IN Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 16 practitioners
Practice locations: Beech Grove, IN
O20230616001411 OH Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 28 practitioners
Practice locations: Columbus, OH
O20230619001137 AL Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 33 practitioners
Practice locations: Birmingham, AL
O20230627000845 UT Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 12 practitioners
Practice locations: Salt Lake City, UT
O20230711002961 MS Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 14 practitioners
Practice locations: Gulfport, MS
O20230724001321 ME Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 2 practitioners
Practice locations: Brunswick, ME
O20230728000764 NM Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 5 practitioners
Practice locations: Albuquerque, NM
O20230830000489 SD Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD
O20230904000206 WY Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 4 practitioners
Practice locations: Casper, WY
O20230906000328 HI Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20230906001843 DC Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 13 practitioners
Practice locations: Arlington, VA
O20230911001306 AK Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK
O20230918000693 NE Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 10 practitioners
Practice locations: Omaha, NE
O20230919004516 DE Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 3 practitioners
Practice locations: Dover, DE
O20230920003215 VT Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 1 practitioner
Practice locations: Williston, VT
O20230926000313 WV Part B Supplier - Clinic/Group Practice 9234525098 Receives reassigned benefits from 5 practitioners
Practice locations: Clarksburg, WV

National Provider Directory

National Provider Directory
Tax ID family
Brightside Health Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050

156 2nd St
San Francisco, CA 94105
Phone (205) 582-7636

17 N 5th Ave
#1021
Beech Grove, IN 46107

6001 Menaul Blvd NE
#1168
Albuquerque, NM 87110

3556 S 5600 W
#1828
West Valley City, UT 84120
Phone (330) 416-3867

3804 Wilson Blvd
#1318
Arlington, VA 22203

Practitioners & affiliated clinicians

Practitioners 326

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.

View all 326

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1073072658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST STE 10222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "415-360-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214F DIAMOND HEIGHTS BLVD # 345",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312175",
            "telephone_number": "415-360-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "WINSBERG",
        "authorized_official_first_name": "MIRENE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "415-360-3348"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.