| Brightside Medical, P.a. | |
|
1900 E Golf Rd Ste 950a Schaumburg IL 60173-5034 | |
| (415) 360-3348 | |
| Not Available |
| Full Name | Brightside Medical, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 E Golf Rd Ste 950a, Schaumburg, Illinois |
| Authorized Official Name and Position | Mirene Winsberg (ADMINISTRATOR) |
| Authorized Official Contact | 4153603348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Medical, P.a. 156 2nd St San Francisco CA 94105-3724 Ph: () - | Brightside Medical, P.a. 1900 E Golf Rd Ste 950a Schaumburg IL 60173-5034 Ph: (415) 360-3348 |
| NPI Number | 1609335660 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 3678948809 |
|---|---|
| Medicare Enrollment ID | O20230331000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609335660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275564197 PECOS PAC ID: 8820983471 Enrollment ID: I20040220000940 |
| Provider Name | Alfreda Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497021810 PECOS PAC ID: 7810145133 Enrollment ID: I20120911000818 |
| Provider Name | Tina M White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912325960 PECOS PAC ID: 2961635511 Enrollment ID: I20140506000455 |
| Provider Name | Tanisha N Hankerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174072698 PECOS PAC ID: 4486941671 Enrollment ID: I20161003002367 |
| Provider Name | Veronica M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316356710 PECOS PAC ID: 1951663749 Enrollment ID: I20180314001028 |
| Provider Name | Sophie Mbua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811534902 PECOS PAC ID: 4688002314 Enrollment ID: I20200311002817 |
| Provider Name | Christopher Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538780358 PECOS PAC ID: 5597196428 Enrollment ID: I20200511000074 |
| Provider Name | Lauren Redd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184393027 PECOS PAC ID: 0648668798 Enrollment ID: I20211022001682 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160572 PECOS PAC ID: 1254714421 Enrollment ID: I20220822000371 |
| Provider Name | Julie Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629126230 PECOS PAC ID: 8224378088 Enrollment ID: I20230403000508 |
| Provider Name | Kelsey Place |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386096246 PECOS PAC ID: 8123493202 Enrollment ID: I20230403000631 |
| Provider Name | Farah Shaddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524059 PECOS PAC ID: 2466827639 Enrollment ID: I20230403001452 |
| Provider Name | Meghan Mccoy-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457705626 PECOS PAC ID: 2062776727 Enrollment ID: I20230403001509 |
| Provider Name | Robert King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992729016 PECOS PAC ID: 9032177407 Enrollment ID: I20230413000490 |
| Provider Name | Melissa Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457548075 PECOS PAC ID: 0143477885 Enrollment ID: I20230504001762 |
| Provider Name | Mary Matzeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184777872 PECOS PAC ID: 1557372224 Enrollment ID: I20230505000082 |
| Provider Name | Brent Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437661808 PECOS PAC ID: 2961761978 Enrollment ID: I20230509001851 |
| Provider Name | Erin Clevenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831581180 PECOS PAC ID: 2668805755 Enrollment ID: I20230515003295 |
| Provider Name | Afsheen Zuberi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043775356 PECOS PAC ID: 1557721859 Enrollment ID: I20230718003766 |
| Provider Name | Erika N Hetland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154834851 PECOS PAC ID: 4880056050 Enrollment ID: I20230821001130 |
| Provider Name | Sheena Barragan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689256885 PECOS PAC ID: 7214382050 Enrollment ID: I20231013000787 |
| Provider Name | Diona Ranee Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194206607 PECOS PAC ID: 4789039231 Enrollment ID: I20240122001671 |
| Provider Name | Brett Ryan Zelencik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235685983 PECOS PAC ID: 0042653800 Enrollment ID: I20240208001721 |
| Provider Name | Andrea Quigley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902325145 PECOS PAC ID: 3779927033 Enrollment ID: I20240215000398 |
| Provider Name | Doreen Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649633256 PECOS PAC ID: 4880038520 Enrollment ID: I20240221001048 |
| Provider Name | Camillia Depke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942483029 PECOS PAC ID: 6709221237 Enrollment ID: I20240223003204 |
| Provider Name | Natalya A Meydbray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073209326 PECOS PAC ID: 5890130728 Enrollment ID: I20240229003678 |
| Provider Name | Eliza K Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013564095 PECOS PAC ID: 0840635470 Enrollment ID: I20240305001833 |
| Provider Name | Crystina Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477118974 PECOS PAC ID: 0840635405 Enrollment ID: I20240305002677 |
| Provider Name | Larcetta Linear |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659959559 PECOS PAC ID: 3476999699 Enrollment ID: I20240311002388 |
| Provider Name | Jamie Frederick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437706744 PECOS PAC ID: 4284085333 Enrollment ID: I20240312000921 |
| Provider Name | Sara Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447794417 PECOS PAC ID: 9739527185 Enrollment ID: I20240403003676 |
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Behavioral Healthcare Providers Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 E Schaumburg Rd Ste 240, Schaumburg, IL 60194 Phone: 847-895-4540 Fax: 847-895-4544 | |
Open Mind Counseling Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1701 E Woodfield Rd Ste 435, Schaumburg, IL 60173 Phone: 224-269-4551 Fax: 224-347-1141 | |
Thriving Minds Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Cambia Dr Apt 6209, Schaumburg, IL 60193 Phone: 773-800-0063 Fax: 773-423-4360 | |
Steven J Resis Md Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1701 E. Woodfield Road, Suite 1000, Schaumburg, IL 60173 Phone: 847-240-2211 Fax: 847-240-2418 |