NPIMap

Organization Active NPI

Bright Path Therapy & Associates, LLC.

  • Clinical Psychologist
  • Wayne, PA
National Provider Identifier
1477042562
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PA017028 Issued in PA
Legal business name
BRIGHT PATH THERAPY & ASSOCIATES, LLC.
Practice address
987 Old Eagle School Rd Ste 719
Wayne, PA 19087-1708
Phone
(610) 971-2277
Fax
(610) 971-0144
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Dr. Kathleen Bhogal, PSY.D.NPI 1912288556
Title
Director
Phone
(917) 554-3669

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PA017028 PA Primary

Addresses

Primary practice location

987 Old Eagle School Rd Ste 719
Wayne, PA 19087-1708

Mailing address

987 Old Eagle School Rd Ste 719
Wayne, PA 19087-1708
Phone (610) 971-2277

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1477042562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD STE 719",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871708",
            "telephone_number": "610-971-2277",
            "fax_number": "610-971-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD STE 719",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871708",
            "telephone_number": "610-971-2277",
            "fax_number": "610-971-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH THERAPY & ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "BHOGAL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-554-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PA017028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.