Active NPI
Bright Integrative Care
- Psychiatry Physician
- Glen Allen, VA
National Provider Identifier
1871373530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BRIGHT INTEGRATIVE CARE
- Practice address
- 11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565 - Phone
- (703) 582-6433
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manjit Sangha, DNP
- Title
- Doctor of Nurse Practice
- Phone
- (703) 582-6433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565
Mailing address
PO Box 2688
Glen Allen, VA 23058-2688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11551 Nuckols Rd
Ste P
Glen Allen, VA 23059
Phone (804) 593-5935
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Allen, VA
- NPI 1447661871
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Allen, VA
- NPI 1417528225
-
- Child & Adolescent Psychiatry Physician
- Richmond, VA
- NPI 1548420813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1871373530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2688",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230582688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11551 NUCKOLS RD STE P",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595565",
"telephone_number": "703-582-6433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT INTEGRATIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2023-12-27",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "SANGHA",
"authorized_official_first_name": "MANJIT",
"authorized_official_title_or_position": "DOCTOR OF NURSE PRACTICE",
"authorized_official_telephone_number": "703-582-6433",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.