Brighter Horizons Behavioral Health

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

BRIGHTER HORIZONS BEHAVIORAL HEALTH

Practice address

23062 Jericho Rd
Edinboro, PA 16412-5148

Phone

(814) 398-1805

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 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

Thomas Kirkwood

Title

Cfo

Phone

(814) 453-5806

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356462543. Details of each certification follow.

• CCN 39L044 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 39L044

Legal name

PERSEUS HOUSE INC BRIGHTER HORIZONS GIRLS RTF

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Jun 27, 2007

Last certification

Aug 16, 2021

Beds

10

Ownership / control type

For profit – individual

Facility address

23062 Jericho Road
Edinboro, PA 16412

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356462543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23062 JERICHO RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164125148",
            "telephone_number": "814-398-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23062 JERICHO RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164125148",
            "telephone_number": "814-398-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER HORIZONS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-453-5806"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018006350001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Turner Bolard, OD
• Julie Boults
• Katrina Bras, LSW
• Jordan Nicole Brewer, MA SLP
• Bright Beginnings Therapy Services LLC
• Rebecca E Brown, COTA/L
• Kelly Anne Bruce
• Tammie Bryson, RDN/LDN
• Denise Frances Bunner
• Michelle A Burgess, P.T.

• Psychiatric Residential Treatment Facility in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Psychiatric Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.