Organization Active NPI

Brighter Mind Therapy LLC

  • Behavior Analyst
  • Niles, IL
National Provider Identifier
1841037280
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIGHTER MIND THERAPY LLC
Practice address
7626 1/2 N Milwaukee Ave Apt 1B
Niles, IL 60714-3181
Phone
(847) 409-6215
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Boris None PatentNPI 1144664137
Title
Owner
Phone
(847) 409-6215

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
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7626 1/2 N Milwaukee Ave Apt 1B
Niles, IL 60714-3181

Mailing address

7626 1/2 N Milwaukee Ave Apt 1B
Niles, IL 60714-3181
Phone (847) 409-6215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1841037280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 1/2 N MILWAUKEE AVE APT 1B",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143181",
            "telephone_number": "847-409-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 1/2 N MILWAUKEE AVE APT 1B",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143181",
            "telephone_number": "847-409-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "PATENT",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-409-6215"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.