BRIGHT BEGINNINGS THERAPEUTIC SERVICES, LLC (NPI# 1194212282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194212282 |
Entity Type | Organization |
Organization Name | BRIGHT BEGINNINGS THERAPEUTIC SERVICES, LLC |
Practice Address |
41 N Main St Ste 310 Carbondale PA 18407-2381 |
Practice Telephone | 5706875242 |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |
Authorized Official Name | JAMEE RUDDY (PRESIDENT/CLINICAL DIRECTOR) |
Authorized Official Telephone | 5706875242 |
Authorized Official Credential | MS, LBSC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | MEDICAL ASSISTANCE PROVIDER | 1033385100001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811490618 | Bright Beginnings Therapeutic Services, LLC | Early Intervention Provider Agency | 27 Salem Ave Ste 3, Carbondale, PA 18407-1961 | 2018-03-18 |
Street Address |
41 N MAIN ST STE 310 |
City | CARBONDALE |
State | PA |
Zip Code | 18407-2381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
Find all providers in zip 18407 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235504184 | Ascendigo Autism Services, Inc. | Community/Behavioral Health | 818 Industry Way, Carbondale, CO 81623-2508 | 2015-12-03 |
1326420068 | Hope Springs Counseling | Community/Behavioral Health | 1418 Country Road 107, Carbondale, CO 81623 | 2015-06-18 |
1740521285 | Southern Illinois Center for Art & Play Therapy LLC | Community/Behavioral Health | 105 N Emerald Ln, Suite C, Carbondale, IL 62901-2168 | 2013-03-08 |
1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
1164726261 | Garfield Day Treatment Porgram | Community/Behavioral Health | 520 S 3rd St, Suite 24, Carbondale, CO 81623-2059 | 2011-01-04 |
1205074630 | Southern Illinois Regional Social Services | Community/Behavioral Health | 250 S Lewis Ln, Carbondale, IL 62901-3409 | 2009-01-22 |
1083851182 | Southern Il Regional Social Services | Community/Behavioral Health | 602 E College St, Carbondale, IL 62901-3309 | 2009-01-12 |
1891932992 | Southern Illinois Regional Social Service | Community/Behavioral Health | 212 S Lake Heights Ave, Carbondale, IL 62901-3463 | 2009-01-12 |
1932251758 | Southern Illinois Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2007-01-18 |
1235675984 | Ascendigo Autism Services, Inc. | Community/Behavioral Health | 818 Industry Way, Carbondale, CO 81623-2508 | 2017-01-18 |
Find all providers in CARBONDALE |
City | CARBONDALE |
Zip Code | 18407 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.