Brighter Future Psychological Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BRIGHTER FUTURE PSYCHOLOGICAL SERVICES INC

Practice address

15456 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-3023

Phone

(818) 917-7773

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Amir Mahdavi, PH.D.NPI 1396057550

Title

Director

Phone

(818) 917-7773

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Brighter Future Neuropsychology and Therapy Clinic Inc2 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.

• Brighter Future Neuropsychology and Therapy Clinic, Inc

  • Clinical Psychologist
  • Huntington Beach, CA
  • NPI 1154076420
  NPD tax ID

Locations

Practitioners 1

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

• Amir Mahdavi, PH.D.

  • Clinical Psychologist
  • Sherman Oaks, CA
  • NPI 1396057550
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1972118974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4403",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913084403",
            "telephone_number": "818-917-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15456 VENTURA BLVD STE 500",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033023",
            "telephone_number": "818-917-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER FUTURE PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "MAHDAVI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-917-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396057550",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brighter.future.psycholgy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15456 Ventuta Blvd",
            "address_2": "Suite 500",
            "city": "Sherman Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Breslin, PHD, LPCC
• Caytie Briggs
• Steven Lee Brigham, PH.D.
• Bright Path Home Health Agency Inc
• Brighter Days Recovery Inc
• Angela Brockunier
• Melissa Brohner-Schneider, MFT, ATR-BC
• Gayle Ann Brohner, MFT
• Jordan Bronkema, RDN
• Ronald Stanley Bronow

• Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.