Bright Psyche Psychological Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BRIGHT PSYCHE PSYCHOLOGICAL SERVICES, LLC

Doing business as

Bright Psyche Psychology

Practice address

710 Oakfield Dr Ste 223
Brandon, FL 33511-4954

Phone

(813) 419-3137

Fax

(877) 599-4198

NPI assigned

Feb 3, 2014

Last updated

Dec 10, 2021By 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

Magda M Lopez, PSY.D.NPI 1396020913

Title

Clinical Psychologist

Phone

(305) 495-8347

Specialties & licenses 3

Addresses

Other names 1

• Bright Psyche Psychology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Magda Marques Lopez, PSY.D.

  • Psychologist
  • Brandon, FL
  • NPI 1396020913

  Clinical Child & Adolescent

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1235552787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 OAKFIELD DR STE 223",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114954",
            "telephone_number": "813-419-3137",
            "fax_number": "877-599-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAKFIELD DR STE 223",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114954",
            "telephone_number": "813-419-3137",
            "fax_number": "877-599-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PSYCHE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-495-8347",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY8347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Psyche Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Psyche Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.