Organization Active NPI

Brightstar Counseling PLLC

  • Psychiatry Physician
  • Harpers Woods, MI
National Provider Identifier
1992819841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHTSTAR COUNSELING PLLC
Practice address
19925 Vernier Rd
Suite 2
Harpers Woods, MI 48236
Phone
(313) 882-2727
Fax
(313) 882-2730
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammad Muqaddas Aman, MDNPI 1962430603
Title
Medical Director
Phone
(313) 882-2727

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

19925 Vernier Rd
Suite 2
Harpers Woods, MI 48236

Mailing address

653 Perrien Place
Gross Pointe Woods, MI 48236

National Provider Directory

National Provider Directory

Locations

19925 Vernier Rd
Ste 2
Harper Woods, MI 48225
Phone (313) 882-2727

3901 Airport Fwy
Ste 230
Bedford, TX 76021
Phone (817) 354-5200

Practitioners & affiliated clinicians

Practitioners 4

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992819841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 PERRIEN PLACE",
            "city": "GROSS POINTE WOODS",
            "state": "MI",
            "postal_code": "48236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19925 VERNIER RD",
            "address_2": "SUITE 2",
            "city": "HARPERS WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-882-2727",
            "fax_number": "313-882-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MUQADDAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-882-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.