| Brightside Medical Of New Jersey, P.c. | |
|
156 2nd Street San Francisco CA 94105 | |
| (415) 360-3348 | |
| Not Available |
| Full Name | Brightside Medical Of New Jersey, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 156 2nd Street, San Francisco, California |
| Authorized Official Name and Position | Daniel Karlin (PRESIDENT) |
| Authorized Official Contact | 9176996564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Medical Of New Jersey, P.c. 156 2nd St San Francisco CA 94105-3724 Ph: (415) 360-3348 | Brightside Medical Of New Jersey, P.c. 156 2nd Street San Francisco CA 94105 Ph: (415) 360-3348 |
| NPI Number | 1811524754 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/23/2020 |
| Certification Date | 03/23/2020 |
| Medicare PECOS PAC ID | 5799141750 |
|---|---|
| Medicare Enrollment ID | O20230517000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811524754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Katherine A Holland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407928328 PECOS PAC ID: 5395708408 Enrollment ID: I20041110000075 |
| Provider Name | Tori Charlotte Sweeting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255391223 PECOS PAC ID: 0840376885 Enrollment ID: I20080331000409 |
| Provider Name | Travonia W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326340217 PECOS PAC ID: 1658550926 Enrollment ID: I20110119001093 |
| Provider Name | Meghan Mccoy-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457705626 PECOS PAC ID: 2062776727 Enrollment ID: I20180503002154 |
| Provider Name | Virginia Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033455365 PECOS PAC ID: 3072755222 Enrollment ID: I20180820002241 |
| Provider Name | Sonya R Isler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336628957 PECOS PAC ID: 4587917695 Enrollment ID: I20181018002758 |
| Provider Name | Bryanna M Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063785251 PECOS PAC ID: 7517223241 Enrollment ID: I20190327000488 |
| Provider Name | Erin Clevenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831581180 PECOS PAC ID: 2668805755 Enrollment ID: I20191203002728 |
| Provider Name | Christopher Betley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922695501 PECOS PAC ID: 9537569777 Enrollment ID: I20210610000419 |
| Provider Name | Courtney Tierra Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770093452 PECOS PAC ID: 6901201607 Enrollment ID: I20210818002205 |
| Provider Name | Beth Barrineau Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285705202 PECOS PAC ID: 5395143077 Enrollment ID: I20211011001240 |
| Provider Name | Ernestine Renea Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588123269 PECOS PAC ID: 4981002227 Enrollment ID: I20211018001094 |
| Provider Name | Nakeyta S Goolsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114599214 PECOS PAC ID: 3971992116 Enrollment ID: I20211110000856 |
| Provider Name | Kourtney Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619225315 PECOS PAC ID: 2264732478 Enrollment ID: I20230106002216 |
| Provider Name | Melissa Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457548075 PECOS PAC ID: 0143477885 Enrollment ID: I20230501002535 |
| Provider Name | Mary Matzeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184777872 PECOS PAC ID: 1557372224 Enrollment ID: I20230517000473 |
| Provider Name | Erik Frost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174804892 PECOS PAC ID: 8325384985 Enrollment ID: I20230517000595 |
| Provider Name | Sheena Gaddis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235452772 PECOS PAC ID: 4385071679 Enrollment ID: I20230517000710 |
| Provider Name | Paige Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932792207 PECOS PAC ID: 6305244906 Enrollment ID: I20230518000161 |
| Provider Name | Meagan Hensley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669763660 PECOS PAC ID: 0840656617 Enrollment ID: I20230520000173 |
| Provider Name | Julie Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629126230 PECOS PAC ID: 8224378088 Enrollment ID: I20230520000211 |
| Provider Name | Kristen Joy King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326569351 PECOS PAC ID: 2163812827 Enrollment ID: I20230524001501 |
| Provider Name | Robert King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992729016 PECOS PAC ID: 9032177407 Enrollment ID: I20230525000306 |
| Provider Name | Marc Bouchard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750677605 PECOS PAC ID: 3870724867 Enrollment ID: I20230811002791 |
| Provider Name | Carla Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245887223 PECOS PAC ID: 7719331990 Enrollment ID: I20230921000978 |
| Provider Name | Cynthia Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487140984 PECOS PAC ID: 5294180634 Enrollment ID: I20231004004117 |
| Provider Name | Gilda D Suiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851941454 PECOS PAC ID: 2769837822 Enrollment ID: I20231009003519 |
| Provider Name | Lassandra Purnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366998767 PECOS PAC ID: 8022465574 Enrollment ID: I20231106002317 |
| Provider Name | Shayla Jenise St James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154831386 PECOS PAC ID: 7214386440 Enrollment ID: I20231213000121 |
| Provider Name | Suzanne Lenore Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881750347 PECOS PAC ID: 7618326752 Enrollment ID: I20231214000367 |
| Provider Name | Hannah Christine Yamouti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144899865 PECOS PAC ID: 3072962117 Enrollment ID: I20231214000399 |
| Provider Name | Carmen Lidia Bolivar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568942407 PECOS PAC ID: 2961851795 Enrollment ID: I20240109000801 |
| Provider Name | Elizabeth Jane Burdick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528247491 PECOS PAC ID: 1456703354 Enrollment ID: I20240116003628 |
| Provider Name | Mary Crumpler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821411349 PECOS PAC ID: 7113218751 Enrollment ID: I20240118000040 |
| Provider Name | Christine Danielle Milano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083867808 PECOS PAC ID: 8921451568 Enrollment ID: I20240130002721 |
| Provider Name | Susan Silberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295333516 PECOS PAC ID: 7810330958 Enrollment ID: I20240206002829 |
| Provider Name | Betsy Corry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093122749 PECOS PAC ID: 4385088293 Enrollment ID: I20240220000580 |
| Provider Name | Lavondra Alicia Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053557637 PECOS PAC ID: 0648614420 Enrollment ID: I20240220003357 |
| Provider Name | Donavon R. Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609924729 PECOS PAC ID: 0244674026 Enrollment ID: I20240220003499 |
| Provider Name | Sarah Elizabeth Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700490349 PECOS PAC ID: 4486099140 Enrollment ID: I20240304002861 |
| Provider Name | Wesley Swan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578062287 PECOS PAC ID: 3870938400 Enrollment ID: I20240305001736 |
| Provider Name | Latoyia Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407092117 PECOS PAC ID: 4789020595 Enrollment ID: I20240314001441 |
| Provider Name | Lindsey Tarratt-hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376061440 PECOS PAC ID: 8123466026 Enrollment ID: I20240410001952 |
| Provider Name | Margaret Mckoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568747483 PECOS PAC ID: 1456704543 Enrollment ID: I20240411000133 |
Foster Care Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Suite 400, San Francisco, CA 94124 Phone: 415-907-3875 Fax: 415-970-3875 | |
Crisis Response Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Building B, Suite 400, San Francisco, CA 94124 Phone: 415-970-3800 Fax: 415-970-3855 | |
Asian American Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Golden Gate Ave, San Francisco, CA 94102 Phone: 415-776-1001 Fax: 415-776-1066 | |
A Woman's Place Drop-in Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 13th St, San Francisco, CA 94103 Phone: 415-420-1420 | |
Piatigorsky Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 Sanchez St, San Francisco, CA 94114 Phone: 415-713-0807 | |
Contra Costa County Behavioral Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Allston Way, San Francisco, CA 94127 Phone: 415-866-5231 | |
Medens Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 California St Ste 1500, San Francisco, CA 94111 Phone: 415-854-5400 Fax: 844-654-2900 |