HEALTHY MIND & BRAIIN CENTER (NPI# 1255967063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255967063 |
Entity Type | Organization |
Organization Name | HEALTHY MIND & BRAIIN CENTER |
Practice Address |
27448 Outrigger Lane Helendale CA 92342 |
Mailing Address |
5822 Olive Ave Rialto CA 92377-3964 |
Practice Telephone | 9098310446 |
Mailing Telephone | 9098310446 |
Enumeration Date | 2020-03-13 |
Last Update Date | 2020-03-13 |
Authorized Official Name | REGINA PEACOCK (CEO) |
Authorized Official Telephone | 9098310446 |
Authorized Official Credential | MSW/ACSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Brain Core | Former Legal Business Name - Organization |
Street Address |
27448 OUTRIGGER LANE |
City | HELENDALE |
State | CA |
Zip Code | 92342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033496245 | Clarence Carl Wilson | Counselor | 15055 Vista Rd. Ste 5, Box 1292, Helendale, CA 92342 | 2011-11-16 |
1003126319 | Paul William Klier | Counselor | 1076 Santo Antono, Suite B, Colton, CA 92342 | 2010-10-20 |
1588992085 | Yang Han Lee | Acupuncturist | 26369 Catamaran Ln, Helendale, CA 92342 | 2009-11-23 |
1528106036 | Cary Frank Schwimmer | Psychologist | 15055 Vista Road #5, Box 567, Helendale, CA 92342 | 2007-02-05 |
1750710547 | Comprehensive Holistic Healthcare, LLC | In Home Supportive Care | 26558 Lakeview Dr., Helendale, CA 92342-0641 | 2013-11-02 |
1255477428 | Susan Elaine Kimpston | Dietitian, Registered | 14938 Tournament Dr, Helendale, CA 92342-1422 | 2007-01-29 |
1669693289 | Jim Rogers | Marriage & Family Therapist | 26734 Jordan Rd., Suite A-4, Helendale, CA 92342-1484 | 2007-05-01 |
1164967527 | Covenant Counseling | Community/Behavioral Health | 15055 Vista Rd Ste 5, Box 567, Helendale, CA 92342-7717 | 2016-12-21 |
1851840201 | Nathan Hunt LLC | Pharmacy | 15055 Vista Rd, Ste 6, Helendale, CA 92342-7717 | 2016-09-27 |
1083056527 | Thomas Mark La Croix | Specialist/Technologist, Other | 14157 Branding Iron Dr, Helendale, CA 92342-7736 | 2013-07-25 |
Find all providers in zip 92342 |
Taxonomy Code | 207ZN0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Neuropathology |
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659857753 | Romain Cayrol | Pathology | 300 Pasteur Dr # R-241, Stanford, CA 94305-2200 | 2018-07-12 |
1417247057 | Shino Magaki | Pathology | 10833 Le Conte Ave Rm 13-145, Los Angeles, CA 90095-2804 | 2011-04-16 |
1295053718 | Jennifer Ziskin | Pathology | 901 Marshall St Bldg 4th, Redwood City, CA 94063-2026 | 2010-05-07 |
1023330099 | Meredith Halks Miller | Pathology | 800 Saginaw Dr, Redwood City, CA 94063-4740 | 2010-02-18 |
1740519529 | Byung H. Choi | Pathology | 49 Mirador, Irvine, CA 92612-2979 | 2009-12-08 |
1295778348 | Henry C Powell | Pathology | 200 West Arbor Drive, Mc 8320, Ucsd Deparment of Pathology, San Diego, CA 92103 | 2006-06-14 |
1841844149 | Zesheng Chen | Pathology | 760 Westwood Plz, Los Angeles, CA 90024-5055 | 2019-07-25 |
1518401660 | Lea Tenenholz Grinberg-korczyn | Pathology | 675 Nelson Rising Ln, Room 211b, San Francisco, CA 94143-0003 | 2016-12-08 |
1548620404 | Mari Perez-rosendahl | Pathology | 101 The City Dr S, Building 1, 3rd Floor, Orange, CA 92868 | 2016-03-03 |
1518352640 | Jonathan Lynn Lavezo | Pathology | 300 Pasteur Dr, Department of Pathology, L235, Stanford, CA 94305-2200 | 2015-04-06 |
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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.