Bright Waters Psychiatry and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRIGHT WATERS PSYCHIATRY AND WELLNESS LLC

Practice address

516 N Charles St Ste 305
Baltimore, MD 21201-5051

Phone

(410) 431-1656

Fax

(410) 701-3921

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Gabrielle L Riley, NPNPI 1710690268

Title

Owner

Phone

(410) 431-1656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabrielle L Riley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1710690268
  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1558050054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N CHARLES ST STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015051",
            "telephone_number": "410-431-1656",
            "fax_number": "410-701-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N CHARLES ST STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015051",
            "telephone_number": "410-431-1656",
            "fax_number": "410-701-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT WATERS PSYCHIATRY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-431-1656",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Star Wellness, LLC
• Bright Star Wellness, LLC
• Bright Star Wellness, LLC
• Bright Start ABA LLC
• Bright Transitions Therapy
• Anita Bright, D.D.S.
• Emmanuel Adeniyiadegeye Bright
• Leah Elaine Bright, D.O.
• Makaylah Rose Bright
• Tiphanie Bright

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.