THE BRAIN BOOSTERS, INC. (NPI# 1306236294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306236294 |
| Entity Type | Organization |
| Organization Name | THE BRAIN BOOSTERS, INC. |
| Other Organization Name | LEARNINGRX JERICHO |
| Practice Address |
333 Jericho Tpke Suite 200 Jericho NY 11753-1100 |
| Practice Telephone | 5168703737 |
| Practice Fax Number | 7329649446 |
| Mailing Telephone | 5168703737 |
| Mailing Fax Number | 7329649446 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. SHELLEY PAZER (DIRECTOR OF LEARNING & DEVELOPMENT) |
| Authorized Official Telephone | 5168703737 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LearningRx Jericho | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE BRAIN BOOSTERS, INC. | 595 Stewart Avenue, Suite 500, Garden City, Ny 11530 |
| Street Address |
333 JERICHO TPKE SUITE 200 |
| City | JERICHO |
| State | NY |
| Zip Code | 11753-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| Find all providers in zip 11753 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1639645724 | Michelle Massarini, Licensed Mental Health Counselor | Clinic/Center | 1462 Levanna Rd, Union Springs, NY 13160-3196 | 2018-10-16 |
| 1952890949 | Student Assistance Services Corporation | Clinic/Center | 660 White Plains Rd Ste 100, Tarrytown, NY 10591-5172 | 2018-05-04 |
| 1013417708 | Alley Valley, LLC | Clinic/Center | 20 Sunrise Dr, Monsey, NY 10952-3305 | 2018-02-19 |
| 1568961829 | Adams Inc. | Clinic/Center | 10933 172nd St Apt 275, Jamaica, NY 11433-3031 | 2018-02-01 |
| 1023560380 | Eating Disorder Treatment of New York, LLC | Clinic/Center | 233 Pine Rd, Briarcliff Manor, NY 10510-2236 | 2016-11-02 |
| 1295188076 | Iv Licensed Clinical Social Work P.C. | Clinic/Center | 4812 Bedford Ave, Apt 1a, Brooklyn, NY 11235-8603 | 2016-07-18 |
| 1548616949 | Lahtze Enterprises LLC | Clinic/Center | 7515 S State St, Lowville, NY 13367-1569 | 2016-05-04 |
| 1285069641 | Evelyn Torres | Clinic/Center | 4419 Third Avenue, Bronx, NY 10457 | 2013-09-04 |
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| 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.