| Brighter Pathways PLLC | |
|
605 Landwehr Rd Northbrook IL 60062-2309 | |
| (224) 723-5772 | |
| Not Available |
| Full Name | Brighter Pathways PLLC |
|---|---|
| Speciality | Psychologist |
| Location | 605 Landwehr Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Angela Ceisel (OWNER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 2247235772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Pathways PLLC 605 Landwehr Rd Northbrook IL 60062-2309 Ph: (224) 723-5772 | Brighter Pathways PLLC 605 Landwehr Rd Northbrook IL 60062-2309 Ph: (224) 723-5772 |
| NPI Number | 1902292048 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8921574666 |
|---|---|
| Medicare Enrollment ID | O20260420002080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902292048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071008493 (Illinois) | Primary |
| Provider Name | Angela T Ceisel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497092118 PECOS PAC ID: 8325285596 Enrollment ID: I20130507000243 |
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