Brainlab Medical

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRAINLAB MEDICAL

Practice address

27509 Agoura Rd Ste 205
Agoura Hills, CA 91301-5149

Phone

(503) 791-3205

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Malkin, MD

Title

Provider

Phone

(818) 839-7556

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Michael Snipes, M.D.

  • Psychiatry Physician
  • Lake Elsinore, CA
  • NPI 1821250077
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1023757275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27489 AGOURA RD STE 101",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27509 AGOURA RD STE 205",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015149",
            "telephone_number": "503-791-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINLAB MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "818-839-7556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bookman, MFT
• Geoffrey A Booth, M.D.
• Hanna Boparai, PA-C
• Steven F Bowen
• Macara Monroe Brachmann
• Genevieve Brando
• Beatrice Braun, AU.D.
• Mary Connolly Breiner, MFT
• Lari Bright, M.S, R.D.
• Broad Horizons Marriage and Family Counseling, Prof. Corp. (Broad Horizons Counseling Collective)

• Psychiatry Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.