BRAIN PERFORMANCE LLC (NPI# 1013319656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013319656 |
| Entity Type | Organization |
| Organization Name | BRAIN PERFORMANCE LLC |
| Practice Address |
3152 Maralice Dr Carmel IN 46033-8726 |
| Practice Telephone | 3179030088 |
| Mailing Telephone | 3179030088 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | DR. CORBY A. BUBP (OWNER) |
| Authorized Official Telephone | 3179030088 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042024A | IN | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BRAIN PERFORMANCE LLC | 3152 Maralice Drive, Carmel, IN 46033 |
| Street Address |
3152 MARALICE DR |
| City | CARMEL |
| State | IN |
| Zip Code | 46033-8726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255749164 | Katherine A Martin | Pharmacist | 10655 Haverstick Rd., St. Elizabeth Seton Church, Carmel, IN 46033 | 2014-07-24 |
| 1104050418 | Sharon Joy O'haver | Occupational Therapist | 11863 Stoney Bay Circle, Carmel, IN 46033 | 2009-05-14 |
| 1689832537 | Wendy Jean Garvin | Dentist | 2750 E 146th St, Suite 201, Carmel, IN 46033 | 2008-05-28 |
| 1013181106 | Kearns Chiropractic, Inc. | Chiropractor | 2776 E 146th Street, Carmel, IN 46033 | 2008-04-18 |
| 1184800443 | Lane Dental LLC | Dentist | 14747 Oak Road, Suite 400, Carmel, IN 46033 | 2008-01-17 |
| 1821287731 | Cool Creek Chiropractic LLC | Chiropractor | 14747 Oak Road Bld 3, Suite 300, Carmel, IN 46033 | 2007-10-16 |
| 1154449528 | John Alexander Cavins | Internal Medicine | 36 Twinshore Ct, Carmel, IN 46033 | 2007-03-26 |
| 1710028469 | Justin M Gilmore Dc PC | Chiropractor | 14801 Market Center Drive, Suite 150, Carmel, IN 46033 | 2007-02-08 |
| 1316017239 | Michael Ryan Kearns | Chiropractor | 2776 E. 146th St., Carmeil, IN 46033 | 2006-11-08 |
| 1063595908 | Shrout Family Chiropractic | Chiropractor | 13170 Hazel Dell Pkwy, Suite 120, Carmel, IN 46033 | 2006-10-23 |
| Find all providers in zip 46033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| 1619473790 | Mind Body Autism, LLC | Psychologist | 12354 Hancock St, Carmel, IN 46032-5807 | 2018-04-05 |
| 1124391016 | Lindsay Ann Hallett Zimmerman | Psychologist | 11350 N Meridian St Ste 300, Carmel, IN 46032 | 2012-02-23 |
| 1346550647 | Laura Beth Wager | Psychologist | 403 Lark Ct Apt F, Carmel, IN 46032-1649 | 2010-10-20 |
| 1396979514 | David L. Raffle | Psychologist | 301 E Carmel Dr Ste E100, Carmel, IN 46032-2892 | 2009-05-04 |
| 1235379132 | Lawrence B. Lennon | Psychologist | 2633 E 136th St, Carmel, IN 46032-1855 | 2009-03-05 |
| 1972759223 | Wayne Carl Hirsh | Psychologist | 3855 Via Nona Marie, 205, Carmel, CA 93923-8614 | 2008-08-18 |
| 1093978637 | Todd Steven Casbon | Psychologist | 301 E Carmel Dr Ste D400, Carmel, IN 46032-4813 | 2008-07-03 |
| 1457547507 | Jean Moore | Psychologist | 26384 Carmel Rancho Ln Ste 200h, Carmel, CA 93923-8750 | 2007-09-22 |
| 1548387400 | Cynthia Ann Bigler | Psychologist | 13009 Portsmouth Dr, Carmel, IN 46032-8640 | 2007-03-24 |
| Find all providers in CARMEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.