Provider Demographics
NPI:1285208769
Name:BRIGHTMIND PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:BRIGHTMIND PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CAPOCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-664-4224
Mailing Address - Street 1:6281 N ORACLE RD UNIT 35427
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85740-2119
Mailing Address - Country:US
Mailing Address - Phone:520-664-4224
Mailing Address - Fax:520-742-9146
Practice Address - Street 1:5425 N ORACLE RD STE 115
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3898
Practice Address - Country:US
Practice Address - Phone:520-664-4224
Practice Address - Fax:520-742-9146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty