Bright Haven Behavioral Center, LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BRIGHT HAVEN BEHAVIORAL CENTER, LTD

Practice address

648 N River Rd Ste 100
Naperville, IL 60563-8968

Phone

(630) 586-6244

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Edina Kopic

Title

Authorized Official

Phone

(630) 751-9028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1487316295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N RIVER RD STE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638968",
            "telephone_number": "630-586-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HAVEN BEHAVIORAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "KOPIC",
        "authorized_official_first_name": "EDINA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-751-9028"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Bridgwater, BCPP
• Brieanna Nation-Howard, D.O. Palliative Care, P.C.
• Mary Briegel, LCSW
• Kelsey A Briggs, MOT, OTR/L
• Bright Dental, Inc.
• Brightcare Home Services LLC
• Brightcare Lacrosse LLC
• Brighter Path Counseling and Psychiatry, PLLC
• Mark Joseph Brinkman, MD
• Briones Counseling Services

• Multi-Specialty Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.