NEUROMOD SCIENCES (NPI# 1518359900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518359900 |
| Entity Type | Organization |
| Organization Name | NEUROMOD SCIENCES |
| Other Organization Name | BRAIN TREATMENT CENTER |
| Practice Address |
1601 Dove St Suite 299 Newport Beach CA 92660-2433 |
| Practice Telephone | 9498513086 |
| Mailing Telephone | 9498513086 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | MR. ROBERT STOLFUS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9498513086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brain Treatment Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEUROMOD SCIENCES, INC. | 1601 Dove St Ste 299, Newport Beach, CA 92660-2459 |
| Street Address |
1601 DOVE ST SUITE 299 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144872 | Nader Oskooilar | Psychiatry & Neurology | 1601 Dove St, 290, Newport Beach, CA 92660-2433 | 2005-06-20 |
| 1790157048 | Mary J. Deane, A Marriage and Family Therapy Corporation | Community/Behavioral Health | 1601 Dove St, #230, Newport Beach, CA 92660-2433 | 2015-10-27 |
| 1659767341 | Leg and Vein Institute, Inc | Radiology | 1601 Dove St, Suite 210, Newport Beach, CA 92660-2433 | 2015-04-09 |
| 1770976359 | Dove Street Surgical Center | Clinic/Center | 1601 Dove St, Suite 275, Newport Beach, CA 92660-2433 | 2015-03-06 |
| 1730571514 | Regenerative Orthopedics | Clinic/Center | 1601 Dove St, Ste 275, Newport Beach, CA 92660-2433 | 2015-03-03 |
| 1750799680 | Raising Sages Integrative Pediatrics, Inc. | Pediatrics | 1601 Dove St, Suite 276, Newport Beach, CA 92660-2433 | 2014-07-23 |
| 1801208392 | Saiki International LLC | In Home Supportive Care | 1601 Dove St, Suite 212, Newport Beach, CA 92660-2433 | 2014-06-02 |
| 1144630708 | Brian Saiki | Home Health | 1601 Dove St, Suite 212, Newport Beach, CA 92660-2433 | 2014-05-05 |
| 1235495425 | Prerna M Rao | Marriage & Family Therapist | 1601 Dove St, Suite 230, Newport Beach, CA 92660 | 2012-04-02 |
| 1255603098 | Trung M Thai Md Inc | Psychiatry & Neurology | 1601 Dove St, Suite 299, Newport Beach, CA 92660-2433 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652841 | Hotel California By The Sea, LLC | Clinic/Center | 400 Westminster Ave Ste 1, Newport Beach, CA 92663-4228 | 2019-04-08 |
| 1376005595 | Jeremy Harvey Mft PC | Clinic/Center | 260 Newport Center Dr Ste 101, Newport Beach, CA 92660-7520 | 2019-04-05 |
| 1295209831 | The Mental Health Collective, LLC | Clinic/Center | 20377 Sw Acacia St Ste 120, Newport Beach, CA 92660-0781 | 2019-01-16 |
| 1841640315 | Casa Capri | Clinic/Center | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2016-06-15 |
| 1558710251 | B & G Medical Services | Clinic/Center | 4000 Birch St Ste 112b, Newport Beach, CA 92660-2211 | 2016-06-03 |
| 1942810122 | Andrew Schneider, Do, Inc | Clinic/Center | 366 San Miguel Dr Ste 309, Newport Beach, CA 92660-7810 | 2020-08-03 |
| 1740840701 | Hoag Neurobehavioral Health LLC | Clinic/Center | 500 Superior Ave Ste 315, Newport Beach, CA 92663-3660 | 2019-06-20 |
| 1477056166 | Lido Wellness Center | Clinic/Center | 3404 Via Lido, Newport Beach, CA 92663-3968 | 2018-03-09 |
| 1649781121 | Healing Source Medical, Inc. | Clinic/Center | 1601 Dove St Ste 185, Newport Beach, CA 92660-2441 | 2017-10-24 |
| 1841648615 | Dr. Dianna Troutt, Marriage and Family Therapist, Inc. | Clinic/Center | 1151 Dove St Ste 113, Newport Beach, CA 92660-2805 | 2016-06-02 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on NEUROMOD SCIENCES.
| 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.