Brightside Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

5877 Issued in MA

Legal business name

BRIGHTSIDE INC

Practice address

2112 Riverdale St
W Springfield, MA 01089-1024

Phone

(413) 539-2973

Fax

(413) 539-2454

NPI assigned

May 1, 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

Robert L Devey

Title

Chief Financial Officer

Phone

(413) 748-9308

Specialties & licenses 7

Addresses

Other identifiers 1

Tax ID family

Brightside for Families and Children5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Brightside for Families and Children

  • Community/Behavioral Health Agency
  • West Springfield, MA
  • NPI 1164634705
  NPD tax ID
• Brightside for Families and Children

  • Point of Service
  • W Springfield, MA
  • NPI 1346276367
  NPD tax ID
• Brightside Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1093709370
  NPD tax ID
• Brightside School Street Counseling Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1942370382
  NPD tax ID

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467673335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414484",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414484",
            "telephone_number": "413-539-2973",
            "fax_number": "413-539-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 RIVERDALE ST",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891024",
            "telephone_number": "413-539-2973",
            "fax_number": "413-539-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-748-9308"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1474833",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1475734",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1475733",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1475735",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1475736",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1475732",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "5877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305263",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Albano, R.PH.
• Baystate Family Chiropractic LLC
• Roland F Berthiaume, D.C.
• Brightside for Families and Children
• Jialene L Carter
• Montserrat Arcellana Centeno
• Davonte C Coleman
• Niels W Cudnohufsky, LICSW, MSW
• CVS Pharmacy Inc (CVS Pharmacy #01972)

• Emotionally Disturbed Childrens' Residential Treatment Facility in W Springfield, MA
• Providers in W Springfield, MA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.