Bright Futures Wellness Center, LLC

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

BRIGHT FUTURES WELLNESS CENTER, LLC

Practice address

422-426 Highland Avenue
Cheshire, CT 06410

Phone

(203) 304-4961

Fax

(203) 306-2905

NPI assigned

Aug 22, 2018

Last updated

Oct 29, 2021By 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

Heidi B Wildstein, APRNNPI 1750355772

Title

Manager

Phone

(203) 304-4961

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Heidi Bryna Wildstein, APRN MSN

  • Developmental - Behavioral Pediatrics Physician
  • Cheshire, CT
  • NPI 1750355772
  NPD Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1508347162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064100104",
            "telephone_number": "203-304-4961",
            "fax_number": "203-306-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422-426 HIGHLAND AVENUE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "06410",
            "telephone_number": "203-304-4961",
            "fax_number": "203-306-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURES WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "WILDSTEIN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-304-4961",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "2442",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bradshaw, RPH
• Chelsea Bradway, COTA/L
• Galina Braylyan, NP
• Abigail Brewerton, LPC
• Bridget Davey, LCSW LLC
• Patricia Cahill Brines, MD
• Michelle B Broggi, RPT, PH. D.
• Deborah L Brom, MS, CCC/SLP
• Kailee Anne Brown, PSYD
• Lori Brown, OTR/L

• Developmental - Behavioral Pediatrics Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Developmental - Behavioral Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.