Active NPI
Brightrise Mental Wellness for Seniors, LLC
- Clinical Psychologist
- Bellevue, NE
National Provider Identifier
1164328316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BRIGHTRISE MENTAL WELLNESS FOR SENIORS, LLC
- Practice address
- 2206 Longo Dr Ste 207
Bellevue, NE 68005-2977 - Phone
- (515) 207-2602
- Fax
- (833) 409-2190
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 23, 2026
- 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
- Maya E Pignatore, PHD
- Title
- Clinical Director
- Phone
- (515) 216-4155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2206 Longo Dr Ste 207
Bellevue, NE 68005-2977
Mailing address
2206 Longo Dr Ste 207
Bellevue, NE 68005-2977
Phone (515) 207-2602
Other practice location 1
2680 Fleur Dr
Des Moines, IA 50321-1756
Phone (515) 207-2602
National Provider Directory
National Provider DirectoryLocations
2206 Longo Dr
Ste 207
Bellevue, NE 68005
Phone (402) 703-2497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1164328316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 LONGO DR STE 207",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680052977",
"telephone_number": "515-207-2602",
"fax_number": "833-409-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 LONGO DR STE 207",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680052977",
"telephone_number": "515-207-2602",
"fax_number": "833-409-2190"
}
],
"practiceLocations": [
{
"address_1": "2680 Fleur Dr",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503211756",
"country_code": "US",
"telephone_number": "515-207-2602",
"fax_number": "833-409-2190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIGHTRISE MENTAL WELLNESS FOR SENIORS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A",
"authorized_official_last_name": "PIGNATORE",
"authorized_official_first_name": "MAYA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "515-216-4155",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.