THE BRAIN TREATMENT CENTER


Address: 19600 Fairchild, Suite 260, Irvine, CA 92612-2508
Phone: 9498513086

THE BRAIN TREATMENT CENTER (NPI# 1871890582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871890582
Entity Type Organization
Organization Name THE BRAIN TREATMENT CENTER
Practice Address 19600 Fairchild
Suite 260
Irvine
CA 92612-2508
Practice Telephone 9498513086
Mailing Telephone 9498513086
Enumeration Date 2011-02-15
Last Update Date 2011-02-15
Authorized Official Name MR. YI JIN (DIRECTOR)
Authorized Official Telephone 9498513086
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
A054617 CA Allopathic & Osteopathic Physicians
N 2084D0003X Psychiatry & Neurology
Specialization: Diagnostic Neuroimaging
A054617 CA Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
A054617 CA Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
A054617 CA Allopathic & Osteopathic Physicians
N 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
A054617 CA Allopathic & Osteopathic Physicians
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
A054617 CA Ambulatory Health Care Facilities

Office Location

Street Address 19600 FAIRCHILD
SUITE 260
City IRVINE
State CA
Zip Code 92612-2508

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City IRVINE
Zip Code 92612

Improve Information

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Dataset Information

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.

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