Organization Active NPI

Brightrise Mental Wellness for Seniors, LLC

  • Clinical Psychologist
  • Bellevue, NE
National Provider Identifier
1164328316
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.