NPI 1164328316 · live from the CMS NPI Registry
Brightrise Mental Wellness For Seniors, LLC
Psychologist, Clinical in Bellevue, NE. National Provider Identifier 1164328316, active.
NPI record
| NPI | 1164328316 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2206 Longo Dr Ste 207, Bellevue, NE 68005 |
| Practice phone | 515-207-2602 |
| Enumerated | October 15, 2026 |
| Last updated | October 23, 2026 |
| Authorized official | Maya Pignatore, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.