| Brightside Medical Of New Jersey, P.c. | |
|
5214f Diamond Heights Blvd # 345 San Francisco CA 94131-2175 | |
| (415) 360-3348 | |
| Not Available |
| Full Name | Brightside Medical Of New Jersey, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5214f Diamond Heights Blvd # 345, 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. 2261 Market St Ste 10222 San Francisco CA 94114-1612 Ph: (415) 360-3348 | Brightside Medical Of New Jersey, P.c. 5214f Diamond Heights Blvd # 345 San Francisco CA 94131-2175 Ph: (415) 360-3348 |
| NPI Number | 1811524754 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/14/2024 |
| 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 | Terica N Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427020304 PECOS PAC ID: 9133199250 Enrollment ID: I20040727001395 |
| Provider Name | Marie Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275591703 PECOS PAC ID: 1850460080 Enrollment ID: I20080514000461 |
| Provider Name | Lisa Chaplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912157983 PECOS PAC ID: 7113209768 Enrollment ID: I20170117000805 |
| Provider Name | Sonya R Isler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336628957 PECOS PAC ID: 4587917695 Enrollment ID: I20181018002758 |
| Provider Name | Aryana Calcagni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669880282 PECOS PAC ID: 6709130941 Enrollment ID: I20181107000827 |
| Provider Name | Anna Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245627264 PECOS PAC ID: 2860746120 Enrollment ID: I20181126003494 |
| Provider Name | Jessie Seide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578638755 PECOS PAC ID: 7517203375 Enrollment ID: I20190115003252 |
| Provider Name | Julianne M Abuzuaiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154877868 PECOS PAC ID: 4183958267 Enrollment ID: I20191001001809 |
| Provider Name | Erin Clevenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831581180 PECOS PAC ID: 2668805755 Enrollment ID: I20191203002728 |
| Provider Name | Porsche Renna Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427341528 PECOS PAC ID: 1254766702 Enrollment ID: I20200110002330 |
| Provider Name | Deitra Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679048623 PECOS PAC ID: 3870929870 Enrollment ID: I20200211002497 |
| Provider Name | Christopher Betley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922695501 PECOS PAC ID: 9537569777 Enrollment ID: I20210610000419 |
| 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 | Taquita Shanee Milner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891355970 PECOS PAC ID: 2769876333 Enrollment ID: I20220224000579 |
| Provider Name | Kareem C Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366179095 PECOS PAC ID: 1759751399 Enrollment ID: I20221223000352 |
| Provider Name | Marc Bouchard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750677605 PECOS PAC ID: 3870724867 Enrollment ID: I20230811002791 |
| 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 | Stacey Hellow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891299780 PECOS PAC ID: 4587904701 Enrollment ID: I20240116001698 |
| Provider Name | Christine Danielle Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083867808 PECOS PAC ID: 8921451568 Enrollment ID: I20240130002721 |
| 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 | Julie Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962146597 PECOS PAC ID: 3779023882 Enrollment ID: I20240904001452 |
| Provider Name | Somonia M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710378765 PECOS PAC ID: 2668912064 Enrollment ID: I20240912001118 |
| Provider Name | Shengjue Yang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689325268 PECOS PAC ID: 9931632403 Enrollment ID: I20241023002123 |
| Provider Name | Dominiquie Clemmons-james |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376104323 PECOS PAC ID: 2668907890 Enrollment ID: I20241126000277 |
| Provider Name | Brittany Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164028718 PECOS PAC ID: 9931635729 Enrollment ID: I20241203003561 |
| Provider Name | Lynne Marie Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629246384 PECOS PAC ID: 4183151350 Enrollment ID: I20241230001848 |
| Provider Name | Clyde Carson Nance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316436116 PECOS PAC ID: 4486181484 Enrollment ID: I20250102000811 |
| Provider Name | Trevor Nathan Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669043162 PECOS PAC ID: 2769910280 Enrollment ID: I20250113000696 |
| Provider Name | John Bragg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437143344 PECOS PAC ID: 8224486444 Enrollment ID: I20250309000018 |
| Provider Name | Maria Agustina Bibb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275273294 PECOS PAC ID: 3173046653 Enrollment ID: I20250325002701 |
| Provider Name | Allison Adcock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841622198 PECOS PAC ID: 4385168152 Enrollment ID: I20250414002591 |
| Provider Name | Jennifer Kapolchok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790014215 PECOS PAC ID: 2163788795 Enrollment ID: I20250418000181 |
| Provider Name | Misty Michelle Annarino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669845137 PECOS PAC ID: 0446777262 Enrollment ID: I20250506001014 |
| Provider Name | Lakeisha Shamone Mcknabb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225349681 PECOS PAC ID: 9638696933 Enrollment ID: I20250509001703 |
| Provider Name | Nykea Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336730357 PECOS PAC ID: 3779934690 Enrollment ID: I20250529001195 |
City And County Of San Francisco 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 | |
City And County Of San Francisco 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 | |
Healthright 360 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 |