NPIMap

Organization Active NPI

Brighter Life Therapy PLLC

  • Psychologist
  • Cambridge, MA
National Provider Identifier
1982230280
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BRIGHTER LIFE THERAPY PLLC
Practice address
263 Concord Ave
2ND Floor
Cambridge, MA 02138-1398
Phone
(978) 208-4221
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Michael Koren, PSYDNPI 1932656204
Title
Owner
Phone
(978) 208-4221

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 Primary

Addresses

Primary practice location

263 Concord Ave
2ND Floor
Cambridge, MA 02138-1398

Mailing address

263 Concord Ave
2ND Floor
Cambridge, MA 02138-1398
Phone (978) 208-4221

National Provider Directory

National Provider Directory

Locations

263 Concord Ave
Apt 2
Cambridge, MA 02138
Phone (617) 491-1660

Practitioners & affiliated clinicians

Practitioners 1

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": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1982230280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 CONCORD AVE",
            "address_2": "2ND FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381398",
            "telephone_number": "978-208-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 CONCORD AVE",
            "address_2": "2ND FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381398",
            "telephone_number": "978-208-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER LIFE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-208-4221",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.