NPIMap

Organization Active NPI

Brighter Side Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1801266952
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2278891 Issued in MA
Legal business name
BRIGHTER SIDE WELLNESS LLC
Practice address
67 Brigham St
New Bedford, MA 02740-2211
Phone
(774) 202-6963
Fax
(774) 202-2737
NPI assigned
Oct 1, 2015
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Amanda M Raposo, CNPNPI 1902156623
Title
Psychiatric Nurse Practitioner
Phone
(774) 202-6963

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2278891 MA Primary

Addresses

Primary practice location

67 Brigham St
New Bedford, MA 02740-2211

Mailing address

67 Brigham St
New Bedford, MA 02740-2211
Phone (774) 202-6963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151104002620 MA Part B Supplier - Clinic/Group Practice 9032429915 Receives reassigned benefits from 6 practitioners
Practice locations: North Dartmouth, MA

National Provider Directory

National Provider Directory

Locations

67 Brigham St
New Bedford, MA 02740
Phone (508) 993-7200

77 State Rd
Ste 1R
North Dartmouth, MA 02747
Phone (774) 202-6963

77 State Rd
Ste R
North Dartmouth, MA 02747
Phone (774) 202-6963

Practitioners & affiliated clinicians

Practitioners 6

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": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1801266952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402211",
            "telephone_number": "774-202-6963",
            "fax_number": "774-202-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BRIGHAM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402211",
            "telephone_number": "774-202-6963",
            "fax_number": "774-202-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER SIDE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "RAPOSO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "774-202-6963",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2278891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.