Organization Active NPI

Bright Horizons Psychiatry, PLLC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1720767635
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHT HORIZONS PSYCHIATRY, PLLC
Practice address
40 Exchange PL Ste 510
New York, NY 10005-2775
Phone
(646) 470-0606
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Agnieszka Marta Cain, MD
Title
MD
Phone
(646) 470-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

40 Exchange PL Ste 510
New York, NY 10005-2775

Mailing address

3117 Broadway Apt 47
New York, NY 10027-4614

Other identifiers 1

IdentifierTypeStateIssuer
1821550682MedicaidNY

National Provider Directory

National Provider Directory

Locations

67 Irving Pl
Fl 6
New York, NY 10003
Phone (347) 346-3209

40 Exchange Pl
Ste 510
New York, NY 10005
Phone (212) 523-4728

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1720767635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 BROADWAY APT 47",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EXCHANGE PL STE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052775",
            "telephone_number": "646-470-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HORIZONS PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_middle_name": "MARTA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-470-0606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821550682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.