NPIMap

Organization Active NPI

Bright Minds Psychology Corp

  • Community/Behavioral Health Agency
  • Kissimmee, FL
National Provider Identifier
1851918189
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHT MINDS PSYCHOLOGY CORP
Doing business as
Bright Minds Mental Health Services
Practice address
1108 Plaza Dr
Kissimmee, FL 34743-4040
Phone
(407) 483-3182
Fax
(407) 483-3184
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Fabiola VargasNPI 1992219109
Title
Owner
Phone
(787) 410-6609

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1108 Plaza Dr
Kissimmee, FL 34743-4040

Mailing address

1108 Plaza Dr
Kissimmee, FL 34743-4040
Phone (407) 483-3182

Other names 1

  • Bright Minds Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Minds Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4545 Pleasant Hill Rd
Ste 110
Kissimmee, FL 34759
Phone (407) 483-4950

1108 Plaza Dr
Kissimmee, FL 34743
Phone (407) 483-3182

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1851918189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PLAZA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434040",
            "telephone_number": "407-483-3182",
            "fax_number": "407-483-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PLAZA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434040",
            "telephone_number": "407-483-3182",
            "fax_number": "407-483-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MINDS PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-410-6609"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Minds Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Minds Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.