Bright Mind Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIGHT MIND THERAPY

Practice address

26439 Sims St
Dearborn Heights, MI 48127-4129

Phone

(313) 888-6188

NPI assigned

Jul 28, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hassan MazloumNPI 1417669920

Title

Owner

Phone

(313) 888-6188

Specialties & licenses 2

Addresses

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.

• Hassan Mazloum

  • General Practice Dentistry
  • East Lansing, MI
  • NPI 1417669920
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1629759097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26439 SIMS ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274129",
            "telephone_number": "313-888-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26439 SIMS ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274129",
            "telephone_number": "313-888-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MAZLOUM",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-888-6188"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bouey
• Yvonne Marie Brady, M.ED.
• Gary L Brant, DDS
• Brian J. Polidori DDS PC (Polidori Dental)
• Aniya Bridges
• Kendra Brown-Doneth, LPC, NCC, CAAC
• Pamela Diane Brown, OD
• Tyeshia Nicole Brown
• Jennifer Lynn Brujitske, NP
• Tiffany Bryant

• Behavior Analyst in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.