THE BRAIN SPA, LLC (NPI# 1063907517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063907517 |
| Entity Type | Organization |
| Organization Name | THE BRAIN SPA, LLC |
| Practice Address |
210 Jupiter Lakes Blvd Ste 3102 Jupiter FL 33458 |
| Mailing Address |
210 Jupiter Lakes Blvd Ste 3102 Jupiter FL 33458-7189 |
| Practice Telephone | 5614066561 |
| Practice Fax Number | 5614066629 |
| Mailing Telephone | 5614066561 |
| Mailing Fax Number | 5614066629 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | EDWARD LEONARDO BARIAS (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 5614066561 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
ME119718 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700380904 | The Brain Spa, LLC | Clinic/Center | 5200 East Ave, West Palm Beach, FL 33407-2374 | 2018-03-21 |
| Street Address |
210 JUPITER LAKES BLVD STE 3102 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689007700 | Edward Leonardo Barias | Psychiatry & Neurology | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458 | 2013-08-13 |
| 1104446780 | Timothy Thomas Turscak | Nurse Practitioner | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458-7189 | 2020-04-23 |
| 1841753019 | Jessica Lynn Jeans | Counselor | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458-7189 | 2019-04-12 |
| 1770989923 | Jennifer Bruk | Psychiatry & Neurology | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458-7189 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689007700 | Edward Leonardo Barias | Psychiatry & Neurology | 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458 | 2013-08-13 |
| 1891036521 | William J. Romanos Jr. M.d. P.a. | Psychiatry & Neurology | 900 S Us Highway 1, Suite 101, Jupiter, FL 33477-6459 | 2013-03-05 |
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|---|---|---|---|---|
| 1861091431 | Aloha Detox Center LLC | Psychiatry & Neurology | 4800 Linton Blvd # 6, Delray Beach, FL 33445-6584 | 2020-10-23 |
| 1598315251 | Webmed Network, LLC | Psychiatry & Neurology | 8787 Bryan Dairy Rd Ste 370, Largo, FL 33777-1251 | 2019-09-16 |
| 1699331132 | Hakuna Matata Psychiatry Services Pllc | Psychiatry & Neurology | 13123 E Emerald Coast Pkwy # 193, Inlet Beach, FL 32461-9604 | 2019-05-09 |
| 1629540273 | Aware Recovery Care of Florida LLC | Psychiatry & Neurology | 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 | 2018-12-20 |
| 1760981260 | Panama City Springs & Recovery Center, Inc | Psychiatry & Neurology | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-02-09 |
| 1962910570 | Palm Beach Neuro and Wellness, LLC | Psychiatry & Neurology | 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 | 2018-01-17 |
| 1770090276 | Allure Wellness Group LLC | Psychiatry & Neurology | 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 | 2018-01-05 |
| 1861902173 | Recreate Life Wellness Group LLC | Psychiatry & Neurology | 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 | 2017-10-02 |
| 1740718519 | Drs Billing One | Psychiatry & Neurology | 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 | 2017-05-24 |
| 1205389749 | Physicians Recovery Center Inc | Psychiatry & Neurology | 4782 W Commercial Blvd, Tamarac, FL 33319-2878 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
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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.