THE BRAIN SPECIALISTS, LLC (NPI# 1942500715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942500715 |
| Entity Type | Organization |
| Organization Name | THE BRAIN SPECIALISTS, LLC |
| Practice Address |
1010 Northern Blvd Suite 130 Great Neck NY 11021-5317 |
| Practice Telephone | 3478849955 |
| Mailing Telephone | 3478849955 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |
| Authorized Official Name | DR. CHRISTINE J MIHAILA (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 3479948855 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
017224 | NY | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
017224 | NY | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
017224 | NY | Ambulatory Health Care Facilities |
| Street Address |
1010 NORTHERN BLVD SUITE 130 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839255 | Steven M Goldberg | Internal Medicine | 1010 Northern Blvd, Ste 110, Great Neck, NY 11021-5306 | 2005-05-23 |
| 1851939193 | Jessica Ann Schillow | Nurse Practitioner | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2019-12-17 |
| 1033754171 | Jennifer D Pierre | Occupational Therapy Assistant | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2019-11-13 |
| 1831752518 | Tannesha Dixon | Nurse Practitioner | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2019-04-17 |
| 1306324736 | Samantha Hartnett | Audiologist | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2018-07-28 |
| 1811403744 | Jacqueline Pugliese | Occupational Therapist | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2017-12-14 |
| 1558876631 | Dvora Khalili | Occupational Therapist | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2017-12-11 |
| 1124573761 | Ashley Weaver | Audiologist | 1010 Northern Blvd, #308, Great Neck, NY 11021-5317 | 2016-08-24 |
| 1023409448 | Garuda Medical, P.C. | Specialist | 1010 Northern Blvd, Suite 208, Great Neck, NY 11021-5317 | 2015-02-06 |
| 1376962696 | Philip Ragone M D P C | Psychiatry & Neurology | 1010 Northern Blvd, Ste 136, Great Neck, NY 11021-5317 | 2014-04-15 |
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| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
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| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| City | GREAT NECK |
| Zip Code | 11021 |
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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.