Organization Active NPI

Bright Horizion Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1578277604
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIGHT HORIZION PSYCHIATRY
Practice address
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Phone
(855) 334-1249
NPI assigned
Jan 12, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Marjorie Maine, CRNPNPI 1952704215
Title
CRNP
Phone
(347) 453-1464

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777

Mailing address

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Phone (855) 334-1249

Other practice location 1

3336 Mountain Laurel Dr
East Stroudsburg, PA 18301-8124
Phone (570) 844-0125

Other identifiers 1

IdentifierTypeStateIssuer
103220987MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.psychiatry-bhz.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1578277604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "855-334-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "855-334-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3336 Mountain Laurel Dr",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183018124",
            "country_code": "US",
            "telephone_number": "570-844-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT HORIZION PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MAINE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "347-453-1464",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103220987",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.psychiatry-bhz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3336 Mountain Laurel Dr",
            "city": "East Stroudsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183018124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.