Provider Demographics
NPI:1821068362
Name:BRIGHTUP, JOY ARLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:ARLEEN
Last Name:BRIGHTUP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:ARLEEN
Other - Last Name:SIELEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1355 LIMERICK DR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3410
Mailing Address - Country:US
Mailing Address - Phone:714-524-1280
Mailing Address - Fax:714-524-1280
Practice Address - Street 1:151 N. KRAEMER BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5044
Practice Address - Country:US
Practice Address - Phone:714-577-8255
Practice Address - Fax:714-577-8254
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8160103TB0200X, 103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4292930OtherAETNA US HEALTHCARE
CAPSY8160OtherCA PSYCHOLOGIST LICENSE
CACP8160Medicare ID - Type UnspecifiedCA PSYCHOLOGIST