BRAIN PRACTICE, LLC (NPI# 1275838989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275838989 |
| Entity Type | Organization |
| Organization Name | BRAIN PRACTICE, LLC |
| Other Organization Name | NONE |
| Practice Address |
39055 E State Highway 146 Gilman City MO 64642-7215 |
| Practice Telephone | 8163516997 |
| Mailing Telephone | 8163516997 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |
| Authorized Official Name | DR. MARY M BRANT (OWNER) |
| Authorized Official Telephone | 8163516997 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2007000444 | MO | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| None | Doing Business As Name - Organization |
| Street Address |
39055 E STATE HIGHWAY 146 |
| City | GILMAN CITY |
| State | MO |
| Zip Code | 64642-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962845057 | Cameron Regional Medical Center Inc | Clinic/Center | 427 Main St, Gilman City, MO 64642-9714 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962845057 | Cameron Regional Medical Center Inc | Clinic/Center | 427 Main St, Gilman City, MO 64642-9714 | 2013-04-09 |
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | GILMAN CITY |
| Zip Code | 64642 |
Please comment or provide details below to improve the information on BRAIN PRACTICE, 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.