BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC (NPI# 1386008985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386008985 |
| Entity Type | Organization |
| Organization Name | BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC |
| Other Organization Name | CONCUSSION CENTER OF MASSACHUSETTS |
| Practice Address |
195 Russell St Suite B-13 Hadley MA 01035-9515 |
| Practice Telephone | 4132036600 |
| Practice Fax Number | 8666511899 |
| Mailing Telephone | 4132036600 |
| Mailing Fax Number | 8666511899 |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | ROBERT DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4132036600 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0301X |
Physical Medicine & Rehabilitation Specialization: Brain Injury Medicine |
7324 | MA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Concussion Center of Massachusetts | Doing Business As Name - Organization |
| Street Address |
195 RUSSELL ST SUITE B-13 |
| City | HADLEY |
| State | MA |
| Zip Code | 01035-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669572301 | Kathleen Anderson | Counselor | 195 Russell St, Suite B-8, Hadley, MA 01035-9515 | 2006-09-23 |
| 1679928238 | Tara Armstrong | Speech-Language Pathologist | 195 Russell St, Suite B-13, Hadley, MA 01035-9515 | 2016-05-02 |
| 1194136069 | Rebecca Knowles | Occupational Therapist | 195 Russell St, Suite B-13, Hadley, MA 01035-9515 | 2014-05-14 |
| 1134458821 | Behavioral Medicine Associates, LLC | Psychologist | 195 Russell St, Suite B12, Hadley, MA 01035-9515 | 2009-12-09 |
| 1770609117 | Baroco Corporation | Clinic/Center | 195 Russell St, 4b, Hadley, MA 01035-9515 | 2007-03-21 |
| 1720124290 | Andrew P. Steinmark | Psychologist | 195 Russell St, Suite B12, Hadley, MA 01035-9515 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407818 | Together Physical Therapy | Physical Therapist | 245 Russell St Ste 20, Hadley, MA 01035 | 2019-10-08 |
| 1588184485 | Robert Cooke | Specialist/Technologist | 77 River Drive, Hadley, MA 01035 | 2017-06-21 |
| 1912431222 | Cyrus Safizadeh | Dentist | 207 Russell St, Hadley, MA 01035 | 2017-04-13 |
| 1083013445 | Mahek Mehta | Dentist | 344 Russell St, Unit 21, Hadley, MA 01035 | 2014-08-21 |
| 1932472370 | Jessica M. Stier | Dentist | Precision Dental Associates, 190 Russell Street, Hadley, MA 01035 | 2012-02-15 |
| 1447553425 | Northland Hearing Centers, Inc. | Audiologist | 104 Russell Street, Ste. 6, Hadley, MA 01035 | 2010-12-13 |
| 1093036766 | Paul Francis Sahd | Family Medicine | 234 Russell Street, Hadley, MA 01035 | 2010-06-17 |
| 1750507745 | Linda Marie Robinson | Dentist | 380 Russell Street, Suite 101, Hadley, MA 01035 | 2007-04-18 |
| 1336265214 | Ambreen A Bawa | Dentist | 200 Russell St, Hadley, MA 01035 | 2007-03-22 |
| 1841321205 | Linda Levine Dc | Chiropractor | 187 Russell Street, Hadley, MA 01035 | 2007-03-08 |
| Find all providers in zip 01035 | ||||
| Taxonomy Code | 2081P0301X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Brain Injury Medicine |
| A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. |
| Notes: Source: American Board of Physical Medicine and Rehabilitation, 2015. www.abpmr.org [1/1/2016: new] |
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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.