Organization Active NPI

Bright Place LLC

  • Adult Mental Health Clinic/Center
  • Columbia Heights, MN
National Provider Identifier
1609499813
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRIGHT PLACE LLC
Practice address
3835 Bakken Blvd
Columbia Heights, MN 55421-5056
Phone
(763) 746-6653
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Osman Ahmed
Title
President
Phone
(763) 746-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3835 Bakken Blvd
Columbia Heights, MN 55421-5056

Mailing address

3835 Bakken Blvd
Columbia Heights, MN 55421-5056
Phone (763) 746-6653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1609499813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 BAKKEN BLVD",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215056",
            "telephone_number": "763-746-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 BAKKEN BLVD",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215056",
            "telephone_number": "763-746-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-746-6653"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.