BRAIN ENHANCEMENT INSTITUTE (NPI# 1750656245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750656245 |
| Entity Type | Organization |
| Organization Name | BRAIN ENHANCEMENT INSTITUTE |
| Practice Address |
8055 W Manchester Ave Ste 720 Playa Del Rey CA 90293-7202 |
| Practice Telephone | 6267979977 |
| Practice Fax Number | 6268442977 |
| Mailing Telephone | 6267979977 |
| Mailing Fax Number | 6268442977 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | DR. TERRY EGAN (DIRECTOR) |
| Authorized Official Telephone | 6267979977 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | G67163 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003974 | Brain Enhancement Institute | Marriage & Family Therapist | 8055 W Manchester Ave, Ste 720, Playa Del Rey, CA 90293-7960 | 2012-08-15 |
| Street Address |
8055 W MANCHESTER AVE STE 720 |
| City | PLAYA DEL REY |
| State | CA |
| Zip Code | 90293-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
| 1992166912 | Laquicha Westervelt | Nurse Practitioner | 8700 Pershing Drive, 4209, Playa Del Rey, CA 90293 | 2016-03-18 |
| 1447320338 | Shahrzad Zarrinnam | Dentist | 8035 W. Manchester Ave. Ste. B, Playa Del Rey, CA 90293 | 2006-11-08 |
| 1134213770 | Pooneh Soltani | Dentist | 5901 E. 7th Street, Long Beach, CA 90293 | 2006-10-03 |
| 1447241575 | Dennis P Waldman Dds Inc | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2005-10-28 |
| 1356744866 | Dennis Waldman | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2014-09-29 |
| 1073637187 | Courtney Hatsuye Yoshikawa | Dentist | 7740 W Manchester Ave, Suite 108, Playa Del Rey, CA 90293-6400 | 2007-03-16 |
| 1356599534 | George P Gleckler | Marriage & Family Therapist | 8040 W Manchester Ave # A316, Playa Del Rey, CA 90293-7100 | 2008-08-30 |
| 1245437250 | David Chien | Nuclear Medicine | 8040 W Manchester Ave #311, Playa Del Rey, CA 90293-7104 | 2007-07-02 |
| Find all providers in zip 90293 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073940086 | Carla Back-madruga | Clinical Neuropsychologist | 8055 W Manchester Ave, Suite 235, Playa Del Rey, CA 90293-7960 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA DEL REY |
| Zip Code | 90293 |
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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.