NPIMap

Organization Active NPI

Brighter Pathways PLLC

  • Psychologist
  • Northbrook, IL
National Provider Identifier
1902292048
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071008493 Issued in IL
Legal business name
BRIGHTER PATHWAYS PLLC
Practice address
605 Landwehr Rd
Northbrook, IL 60062-2309
Phone
(224) 723-5772
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Dr. Angela Ceisel, PSYDNPI 1497092118
Title
Owner & Clinical Director
Phone
(224) 723-5772

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 071008493 IL Primary

Addresses

Primary practice location

605 Landwehr Rd
Northbrook, IL 60062-2309

Mailing address

605 Landwehr Rd
Northbrook, IL 60062-2309
Phone (224) 723-5772

Other practice location 1

350 Pfingsten Rd
Suite 101
Northbrook, IL 60062-2032
Phone (224) 723-5772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420002080 IL Part B Supplier - Clinic/Group Practice 8921574666 Receives reassigned benefits from 1 practitioner
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

605 Landwehr Rd
Northbrook, IL 60062
Phone (224) 723-5772

617 Landwehr Rd
Northbrook, IL 60062
Phone (224) 723-5772

350 Pfingsten Rd
Ste 101
Northbrook, IL 60062
Phone (224) 723-5772

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1902292048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LANDWEHR RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622309",
            "telephone_number": "224-723-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LANDWEHR RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622309",
            "telephone_number": "224-723-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Pfingsten Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622032",
            "country_code": "US",
            "telephone_number": "224-723-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTER PATHWAYS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CEISEL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "224-723-5772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.