Individual provider Active NPI

Jessica Rivers Allen, M.D.

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1952721102
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
202000048 Issued in NC
Practice address
2232 Page Rd Ste 101
Durham, NC 27703-7724
Phone
(919) 849-8617
Fax
(234) 666-3073
NPI assigned
Apr 25, 2014
Last updated
Jun 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 202000048 NC Primary
Addiction Psychiatry Physician 2084P0802X 202000048 NC

Addresses

Primary practice location

2232 Page Rd Ste 101
Durham, NC 27703-7724

Mailing address

2232 Page Rd Ste 101
Durham, NC 27703-7724
Phone (919) 937-9831

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doctor@brightviewpsychiatrysolutions.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160526002128 NC Order and Referring Only - PsychiatryPractitioner - Psychiatry 9638469018
I20181024003059 SC Order and Referring Only - PsychiatryPractitioner - Psychiatry 9638469018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202000048NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview Psychiatry Solutions PLLC CurrentSince Jun 28, 2020 Accepting new patients

Locations

2232 Page Rd
Ste 101
Durham, NC 27703
Phone (919) 849-8617

Interoperability endpoints

  • Direct secure messaging: doctor@brightviewpsychiatrysolutions.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1952721102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 PAGE RD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037724",
            "telephone_number": "919-937-9831",
            "fax_number": "234-666-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 PAGE RD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037724",
            "telephone_number": "919-849-8617",
            "fax_number": "234-666-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JESSICA",
        "middle_name": "RIVERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "202000048",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "202000048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctor@brightviewpsychiatrysolutions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2232 Page Rd Ste 101",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277037724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.