Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brightline Medical Affiliates, PA

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1871253062

Brightline Medical Affiliates, PA is an Adolescent and Children Mental Health Clinic/Center in San Mateo, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Concar Dr
San Mateo, CA 94402-2681
Phone: (650) 456-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1871253062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Grodberg — Chief Of Psychiatry · (917) 587-0024
NPI enumeratedDecember 29, 2021
Last updated in NPPESJanuary 3, 2023
Certification dateOctober 11, 2022
Mailing address400 Concar Dr, San Mateo, CA 94402-2681

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