BRIGHTLINE MEDICAL ASSOCIATES OF NEW JERSEY, INC. - NPI 1578229365

Q: What is Brightline Medical Associates Of New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

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About Brightline Medical Associates Of New Jersey, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTLINE MEDICAL ASSOCIATES OF NEW JERSEY, INC. (NPI 1578229365) is a healthcare organization registered as an adolescent and children mental health in San Mateo, California and active in the NPI registry since November 2021. The organization lists Barrett Dwyer, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1578229365

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameBRIGHTLINE MEDICAL ASSOCIATES OF NEW JERSEY, INC.

Location Address400 CONCAR DRSan Mateo, CA 94402-2681

Mailing Address400 Concar DrSan Mateo, CA 94402-2681 · (888) 224-7332

Phone(888) 224-7332

Organization SubpartNo

Authorized OfficialBarrett DwyerChief Financial Officer · (888) 224-7332

Enumeration DateNovember 16, 2021

Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1578229365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

400 CONCAR DR, San Mateo, CA 94402

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHTLINE MEDICAL ASSOCIATES, INC.

Clinic/Center (Adolescent and Children Mental Health)