Healthcare Provider Details

I. General information

NPI: 1275468282
Provider Name (Legal Business Name): BRIGHTSON MENTAL HEALTH SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MAIN ST STE 3
HACKETTSTOWN NJ
07840-2002
US

IV. Provider business mailing address

230 MAIN ST STE 3
HACKETTSTOWN NJ
07840-2002
US

V. Phone/Fax

Practice location:
  • Phone: 862-243-1161
  • Fax: 973-348-3169
Mailing address:
  • Phone: 862-243-1161
  • Fax: 973-348-3169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PHILOMINA IGWECHI
Title or Position: OWNER
Credential: APN
Phone: 862-243-1161