Bright Minds Psychology Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BRIGHT MINDS PSYCHOLOGY CORP

Practice address

102 Buenaventura Blvd
Kissimmee, FL 34743-4513

Phone

(407) 483-3182

NPI assigned

May 5, 2023

Organization subpart

No

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

Authorized official

Name

Fabiola VargasNPI 1992219109

Title

Owner

Phone

(407) 483-3182

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bright Minds Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bright Minds Psychology Corp

  dba Bright Minds Mental Health Services

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1851918189
  NPD tax ID

Locations

Practitioners 1

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

• Fabiola Vargas

  • Counselor
  • Orlando, FL
  • NPI 1992219109
  NPD Authorized official

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1619666559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 PEARL CIDER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434513",
            "telephone_number": "407-483-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MINDS PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-483-3182"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113466900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgewater Emergency Physicians, LLC
• Jason Briggs
• Bright Future Therapy Solutions, LLC
• Bright Light Mental Health Services LLC
• Bright Minds Multidisciplinary Center Corp
• Bright Minds Psychology Corp (Bright Minds Mental Health Services)
• Bright Srar Transportation
• Leon Bright
• Brightshield Care LLC
• Ryan David Brignac, PHARMD

• Case Management Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.