Brain Performance LLC
Organization Active NPI Forensic Psychologist · Indianapolis, IN
NPI 1013319656 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1013319656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Forensic Psychologist 103TF0200X
- Legal business name
- BRAIN PERFORMANCE LLC
- Practice address
- 3003 E. 98TH Street
Suite # 107
Indianapolis, IN 46280 - Phone
- (463) 273-2093
- Fax
- (317) 672-1971
- NPI assigned
- Sep 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. James Sorgi
- Title
- Owner
- Phone
- (317) 441-8499
Practitioners 11
-
Grace Dickinson, MSW, LSW
-
Jeffrey Glenn Kelich, MSED
-
Stephany Allison Keys, PSY.D.
-
Hannah O'Connor, MJ, PSYD, HSPP
-
Michelle Furgason, LMHC
-
Lauren Grace Hansen Butler, PSY.D.
National Provider Directory
Locations
10291 N Meridian St
Ste 31
Carmel, IN 46290
Phone (317) 672-1970
10291 N Meridian St
Ste 310
Carmel, IN 46290
Phone (317) 672-1970
3003 E 98th St
Ste 107
Carmel, IN 46280
Phone (463) 273-2093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist |
103TF0200X | Yes | ||
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
3003 E. 98TH Street
Suite # 107
Indianapolis, IN 46280
Mailing address
3003 E. 98TH Street
Suite # 107
Indianapolis, IN 46280
Phone (463) 273-2093
Other providers in Indianapolis, IN
- Briauna Bragg
- Donna Bragg
- Hunter Bragg
- Taylor Ann Brahm
- Chandra Shekar Brahmachari
- Brainchild Neurobehavioraltreatment Center LLC
- Brainforest Center
- Brainworx, LLC
- Brairwood Health and Rehab Center
- Alex Braitman
All providers in Indianapolis, IN · Forensic Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.