Bright Light Center

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BRIGHT LIGHT CENTER

Practice address

9217 17TH Ave S Ste 214
Bloomington, MN 55425-2372

Phone

(952) 228-3797

NPI assigned

Sep 8, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Salmo A AbdikarimNPI 1992310288

Title

Ceo

Phone

(952) 228-3797

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Salmo Abdiwahab Abdikarim

  • Case Manager/Care Coordinator
  • Bloomington, MN
  • NPI 1992310288
  NPD Authorized official
• Elham A Abdikarim

  • Day Training/Habilitation Specialist
  • Bloomington, MN
  • NPI 1760082911
  NPD
• Brittany Marie Mayfield-Lane, LCSW

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1861088007
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1215542170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 17TH AVE S STE 214",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252372",
            "telephone_number": "952-228-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 17TH AVE S STE 214",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252372",
            "telephone_number": "952-228-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIGHT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ABDIKARIM",
        "authorized_official_first_name": "SALMO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-228-3797"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Brezinka, NCTMB
• Bridge ABA
• Cheryl A Bridger
• Gary Bridges
• Bright Beginnings LLC
• Bright Light Counseling Services
• Bright Side Community Living LLC
• Brij Health LLC
• Luna Itzel Briones Sanchez
• Jordan Brisky

• Developmental Disabilities Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.