NPIMap

Organization Active NPI

Brighter Life Behavioral Services P.C

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1750985230
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRIGHTER LIFE BEHAVIORAL SERVICES P.C
Practice address
1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126
Phone
(224) 269-4549
NPI assigned
Nov 25, 2020
Last updated
Mar 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Authorized official

Name
Pooja Jaymin Patel, APRNNPI 1699257105
Title
Nurse Practitioner
Phone
(224) 269-4549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Multi-Specialty Clinic/Center 261QM1300X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126

Mailing address

PO Box 8012
Bartlett, IL 60103-8012
Phone (773) 852-9520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210204001892 IL Part B Supplier - Clinic/Group Practice 5698189579 Receives reassigned benefits from 5 practitioners
Practice locations: Schaumburg, IL; St Charles, IL

National Provider Directory

National Provider Directory

Locations

1701 E Woodfield Rd
Ste 401
Schaumburg, IL 60173
Phone (224) 269-4549

453 Dunham Rd
Ste 100
St Charles, IL 60174
Phone (224) 269-4549

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1750985230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8012",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038012",
            "telephone_number": "773-852-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735126",
            "telephone_number": "224-269-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER LIFE BEHAVIORAL SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "POOJA",
        "authorized_official_middle_name": "JAYMIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "224-269-4549",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.