Brilliant Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRILLIANT BEHAVIORAL HEALTH LLC

Practice address

438 Ganttown Rd Ste B1
Sewell, NJ 08080-1887

Phone

(856) 405-5140

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

William W Bruck, APRNNPI 1184137796

Title

Owner

Phone

(856) 405-5140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• William W Bruck, NP,FNP-BC,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerdale, NJ
  • NPI 1184137796
  Medicare reassignment Care Compare group NPD Authorized official
• Brenda Patricia Bruck, PMHNP

  • Psychiatry Physician
  • Hainesport, NJ
  • NPI 1235767500
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1578375671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SUGARMAN AVE",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324924",
            "telephone_number": "856-405-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD STE B1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801887",
            "telephone_number": "856-405-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BRUCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-405-5140",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Clare Brecht, RN
• Danielle Brenza, D.O.
• Howard Bresalier, D.O.
• Inayah Bristol, M.ED
• Broderick Family Chiropractic, PC
• Joseph Anthony Broderick Jr., D.C.
• Nils Viesturs Brolis, D.O.
• David Bromberg, M.D.

• Psychiatry Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.