BRAINPOWER NEURODEVELOPMENTAL CENTER, LLC (NPI# 1023462413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023462413 |
| Entity Type | Organization |
| Organization Name | BRAINPOWER NEURODEVELOPMENTAL CENTER, LLC |
| Practice Address |
5155 Rosebud Ln Newburgh IN 47630-9332 |
| Practice Telephone | 8127738321 |
| Practice Fax Number | 8129616546 |
| Mailing Telephone | 8127738321 |
| Mailing Fax Number | 8129616546 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | DR. KATHERINE E MORTON (PRACTICE OWNER) |
| Authorized Official Telephone | 8127738321 |
| Authorized Official Credential | PSYD, HSPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201354650A | 05 | |
| KY | 7100399310 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 State St, Newburgh, IN 476301231 | 8127738321 |
| Street Address |
5155 ROSEBUD LN |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-9332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492911 | Erica Sonia Ranade | Psychologist | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2014-06-16 |
| 1659924702 | Ashton Weil | Behavioral Analyst | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2019-07-18 |
| 1154973295 | Ali Houchin | Behavioral Analyst | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2019-07-09 |
| 1386116119 | Kali Riley | Social Worker | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2018-12-18 |
| 1174094171 | Crystal Glover | Social Worker | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2018-12-17 |
| 1356877138 | Megan K Madsen | Social Worker | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2017-05-11 |
| 1760853063 | Katherine E Morton | Psychologist | 5155 Rosebud Ln, Newburgh, IN 47630-9332 | 2015-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892985 | Debra Reisinger | Psychologist | 1002 Wishard Blvd Ste 3120, Indianapolis, IN 46202-2872 | 2020-05-09 |
| 1306493465 | Child Thrive, LLC | Psychologist | 7863 Broadway Ste 239, Merrillville, IN 46410-5554 | 2019-08-23 |
| 1427583863 | Sarah M Ragonese | Psychologist | 5414 W Stonewood Dr, Bloomington, IN 47403-8010 | 2017-04-24 |
| 1508304023 | Kress Psychological Services, LLC | Psychologist | 755 W Carmel Dr Ste 201, Carmel, IN 46032-5878 | 2017-02-03 |
| 1548421100 | Uhs Midwest Center for Youth & Families | Psychologist | 2301 Cumberland Dr, Valparaiso, IN 46383-2537 | 2008-06-17 |
| 1881734697 | Possibilities Northeast, LLC. | Psychologist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2007-02-08 |
| 1659439628 | Jessica Alyce Bissey | Psychologist | 424 Washington St Ste 7, Columbus, IN 47201-6790 | 2006-12-04 |
| 1538103254 | Iris M Crider-nash | Psychologist | 5218 S East St, Suite E-4, Indianapolis, IN 46227-1900 | 2006-06-15 |
| 1972547693 | Dionne Dynlacht | Psychologist | 12647 Geist Cove Dr, Indianapolis, IN 46236-7239 | 2006-06-15 |
| 1679514533 | Linda Ronald | Psychologist | 238 S 5th St, Richmond, IN 47374-5412 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRAINPOWER NEURODEVELOPMENTAL CENTER, LLC.
| 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.