Organization Active NPI

Brightpath Mental Health LLC

  • Adult Mental Health Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1548084999
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRIGHTPATH MENTAL HEALTH LLC
Practice address
22792 Centre Dr Ste 112
Lake Forest, CA 92630-6311
Phone
(714) 813-6317
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Levi Sweet
Title
Tech
Phone
(714) 813-6317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

22792 Centre Dr Ste 112
Lake Forest, CA 92630-6311

Mailing address

22792 Centre Dr Ste 112
Lake Forest, CA 92630-6311

National Provider Directory

National Provider Directory

Locations

22792 Centre Dr
Ste 112
Lake Forest, CA 92630
Phone (714) 813-6317

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1548084999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22792 CENTRE DR STE 112",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22792 CENTRE DR STE 112",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306311",
            "telephone_number": "714-813-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTPATH MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "TECH",
        "authorized_official_telephone_number": "714-813-6317"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.