Cervello Technologies LLC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

CERVELLO TECHNOLOGIES LLC

Practice address

8719 Oak Springs Dr
Missouri City, TX 77459-3516

Phone

(281) 728-8845

NPI assigned

Oct 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Docimo

Title

Managing Partner

Phone

(281) 728-8845

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1003532888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 910",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 OAK SPRINGS DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593516",
            "telephone_number": "281-728-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVELLO TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "DOCIMO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-728-8845"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@usmbllc.com",
            "affiliation": "N",
            "address_1": "8719 Oak Springs Dr",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774593516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.