Organization Active NPI

Brightmind Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1285208769
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIGHTMIND PSYCHIATRY PLLC
Practice address
5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898
Phone
(520) 664-4224
Fax
(520) 742-9146
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Gregory Alan CapocyNPI 1861018244
Title
Sole Owner
Phone
(520) 664-4224

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3898

Mailing address

6281 N Oracle Rd Unit 35427
Tucson, AZ 85740-2119
Phone (520) 664-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706002641 AZ Part B Supplier - Clinic/Group Practice 3072915651 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

6281 N Oracle Rd
Unit 35427
Tucson, AZ 85740
Phone (520) 664-4224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1285208769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 N ORACLE RD UNIT 35427",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857402119",
            "telephone_number": "520-664-4224",
            "fax_number": "520-742-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043898",
            "telephone_number": "520-664-4224",
            "fax_number": "520-742-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMIND PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-03-04",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "CAPOCY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "520-664-4224"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.