BRIGHTLINE MEDICAL AFFILIATES, PA
NPI 1871253062
Clinic/Center - Adolescent and Children Mental Health in San Mateo, CA

Q: What is Brightline Medical Affiliates, PA's NPI number?

The NPI number for Brightline Medical Affiliates, PA is 1871253062. It was assigned to this organization in the NPPES registry on December 29, 2021.

Q: What is Brightline Medical Affiliates, PA's specialty?

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

Active since December 29, 2021

400 CONCAR DR, SAN MATEO, CA 94402(650) 456-5777 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2023, Dec 29, 2021 (2 updates tracked since 2021).

On this page

About Brightline Medical Affiliates, Pa NPPES

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

BRIGHTLINE MEDICAL AFFILIATES, PA (NPI 1871253062) is a healthcare organization registered as an adolescent and children mental health in San Mateo, California and active in the NPI registry since December 2021. The organization lists David Grodberg, Chief Of Psychiatry, as its authorized official.

NPPES Registry Identity

NPI1871253062

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameBRIGHTLINE MEDICAL AFFILIATES, PA

Location Address400 CONCAR DRSan Mateo, CA 94402-2681

Mailing Address400 Concar DrSan Mateo, CA 94402-2681 · (650) 456-5777

Phone(650) 456-5777

Organization SubpartNo

Authorized OfficialDavid GrodbergChief Of Psychiatry · (917) 587-0024

Enumeration DateDecember 29, 2021

Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1871253062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

400 CONCAR DR, San Mateo, CA 94402

Open in Google Maps ↗

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)