Active NPI
Brighter Side Wellness Center
- Case Manager/Care Coordinator
- Oakwood Village, OH
National Provider Identifier
1700354396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- BRIGHTER SIDE WELLNESS CENTER
- Practice address
- 25183 Arbutus Rd
Oakwood Village, OH 44146-5824 - Phone
- (216) 609-8008
- NPI assigned
- Nov 13, 2018
- Last updated
- Nov 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Samuel Moses Sr., BS
- Title
- Ceo/Director
- Phone
- (216) 609-8008
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
25183 Arbutus Rd
Oakwood Village, OH 44146-5824
Mailing address
PO Box 46302
Bedford, OH 44146-0302
Phone (216) 609-8008
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542067200000",
"number": "1700354396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46302",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441460302",
"telephone_number": "216-609-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25183 ARBUTUS RD",
"city": "OAKWOOD VILLAGE",
"state": "OH",
"postal_code": "441465824",
"telephone_number": "216-609-8008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER SIDE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "216-609-8008",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakwood Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.