Organization Active NPI

Brightside School Street Counseling Institute

  • Community/Behavioral Health Agency
  • Springfield, MA
National Provider Identifier
1093882912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTSIDE SCHOOL STREET COUNSELING INSTITUTE
Practice address
33 School St
Springfield, MA 01105-1301
Phone
(413) 846-4300
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shelley Janiczek Woodson, PH.D.
Title
Clinician
Phone
(413) 846-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

33 School St
Springfield, MA 01105-1301

Mailing address

33 School St
Springfield, MA 01105-1301
Phone (413) 846-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093882912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SCHOOL ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051301",
            "telephone_number": "413-846-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SCHOOL ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051301",
            "telephone_number": "413-846-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE SCHOOL STREET COUNSELING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "JANICZEK",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "413-846-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.