Bright Life Medical Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIGHT LIFE MEDICAL SERVICES INC

Practice address

9300 NW 25TH St Ste 205
Doral, FL 33172-1507

Phone

(786) 930-1031

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Diana JaimeNPI 1770141343

Title

President

Phone

(786) 930-1031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Diana Teresa Jaime

  • Behavior Technician
  • Hialeah, FL
  • NPI 1770141343
  NPD Authorized official

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1992310122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST STE 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721507",
            "telephone_number": "786-930-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST STE 205",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721507",
            "telephone_number": "786-930-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIFE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-930-1031"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Alejandro Briceno
• Elodia Briceno
• Bridgeprep Academy Inc
• Bright Future Pediatric Care, LLC
• Bright Future Therapy Services LLC
• Bright Star Medical Group Corp
• Bright Start Possibility
• Bright Young Minds LLC
• Brightline Behavior Analysis Services LLC
• Brightline Behavior Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Doral, FL
• Providers in Doral, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.