MEDICARE: BRIGHT PSYCHOLOGY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1891491130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT PSYCHOLOGY CENTER

Provider Business Mailing Address
First Line	:	PLAZA DEGETAU 1 CALLE SHUFFORD
Second Line	:	SUITE 109 PMB 202
City	:	CAGUAS
State	:	PR
Zip	:	00727-4977
Country	:	US
Telephone Number	:	939-395-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	BONNEVILLE HEIGHTS CALLE AIBONITO 60
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727-4964
Country	:	US
Telephone Number	:	939-395-0188
Fax Number	:

Authorized Official
Title or Position	:	PSYD
Name	:	DR. YESICA CENTENO ALICEA
Credential	:	PSYD
Telephone Number	:	939-395-0188

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	10/30/2025

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Directions to “BRIGHT PSYCHOLOGY CENTER ” Practice Location

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