Brilliant Kids, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRILLIANT KIDS, LLC

Practice address

448 Neptune Ave Apt 16G
Brooklyn, NY 11224-4492

Phone

(917) 654-1010

NPI assigned

Feb 23, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Lara Bogomolny, MS ED

Title

Member

Phone

(917) 654-1010

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1841824414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 NEPTUNE AVE APT 16G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244492",
            "telephone_number": "917-654-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 NEPTUNE AVE APT 16G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244492",
            "telephone_number": "917-654-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "BOGOMOLNY",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-654-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard J Brill, LCSW
• Rachel Briller, SLP
• Brilliant Birdies LLC
• Brilliant Dental & Associates, PC
• Brilliant Dental, PC
• Brilliant Smiles Dental, PC
• Jeanine Brilliant-Mary
• Judith Jay Brilliant, PHD
• Bria Brim
• Coleen Brim

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.