Individual provider Active NPI

Gail Henrietta Brightwell, PSYD

  • Psychologist
  • Linden, NJ
National Provider Identifier
1356150528
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024472 Issued in NY
Practice address
307 W Elizabeth Ave Apt 147
Linden, NJ 07036-4476
Phone
(646) 228-7685
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024472 NY Primary

Addresses

Primary practice location

307 W Elizabeth Ave Apt 147
Linden, NJ 07036-4476

Mailing address

307 W Elizabeth Ave Apt 147
Linden, NJ 07036-4476
Phone (646) 228-7685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024472NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1356150528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W ELIZABETH AVE APT 147",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364476",
            "telephone_number": "646-228-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W ELIZABETH AVE APT 147",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364476",
            "telephone_number": "646-228-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "GAIL",
        "middle_name": "HENRIETTA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.