Provider Demographics
NPI:1275833758
Name:BRIGHTER HOPE PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:BRIGHTER HOPE PSYCHOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER / PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDONSA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:916-224-0212
Mailing Address - Street 1:1421 16TH ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5003
Mailing Address - Country:US
Mailing Address - Phone:916-224-0212
Mailing Address - Fax:916-415-7051
Practice Address - Street 1:1421 16TH ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5003
Practice Address - Country:US
Practice Address - Phone:916-224-0212
Practice Address - Fax:916-415-7051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAH0501251418101YA0400X
CA502041328101YA0400X
CAPSB35143103T00000X
CAPSB35429103T00000X
CAPSY23208103TC0700X
CALCS179341041C0700X
CALCS145411041C0700X
CAMFC44328106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty