NPIMap

Organization Active NPI

Brightside Behavioral Health, LLC

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1255872206
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00715 Issued in RI
Legal business name
BRIGHTSIDE BEHAVIORAL HEALTH, LLC
Practice address
469 Centerville Rd
Suite 101
Warwick, RI 02886-4354
Phone
(954) 658-9482
NPI assigned
Mar 10, 2017
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Ms. Hallie Fleischman, LMHCNPI 1720331747
Title
Owner
Phone
(954) 658-9482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MHC00715 RI Primary

Addresses

Primary practice location

469 Centerville Rd
Suite 101
Warwick, RI 02886-4354

Mailing address

469 Centerville Rd
Suite 101
Warwick, RI 02886-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240221004064 RI Part B Supplier - Clinic/Group Practice 4981048501 Receives reassigned benefits from 22 practitioners
Practice locations: Warwick, RI
O20241231002363 MA Part B Supplier - Clinic/Group Practice 4981048501 Receives reassigned benefits from 6 practitioners
Practice locations: Seekonk, MA

National Provider Directory

National Provider Directory

Locations

179 Highland Ave
#1039
Seekonk, MA 02771
Phone (401) 773-3700

725 Reservoir Ave
Ste 305
Cranston, RI 02910
Phone (401) 773-3111

469 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 320-7101

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1255872206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354",
            "telephone_number": "954-658-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMAN",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-658-9482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.