Brian Gong Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIAN GONG PSYCHOTHERAPY, LLC

Practice address

401 Linton Blvd
Suite 200-a
Delray Beach, FL 33444

Phone

(561) 501-1008

Fax

(561) 431-2608

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Brian Michael Gong, LMHCNPI 1295263473

Title

Owner/Phycotherapist

Phone

(561) 501-1008

Specialties & licenses 1

Addresses

Other names 1

• Brian Gong Psychotherapy Doing business as

Practitioners 1

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

• Brian Michael Gong, LMHC

  • Professional Counselor
  • Delray Beach, FL
  • NPI 1295263473

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1033614037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LINTON BLVD",
            "address_2": "SUITE 200-A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33444",
            "telephone_number": "561-501-1008",
            "fax_number": "561-431-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LINTON BLVD",
            "address_2": "SUITE 200-A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33444",
            "telephone_number": "561-501-1008",
            "fax_number": "561-431-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GONG PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYCOTHERAPIST",
        "authorized_official_telephone_number": "561-501-1008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Gong Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren Steven Brenner, M.D.
• Sarah Brensel, RMHCI
• Brent Schillinger, M.D. PA
• Roy Bresky, M.D.
• Kristy Rini Breslaw, PSY.D.
• Luisa V Briceno Gonzalez
• Robert Henry Brick, ED D
• Bridging Between LLC
• Bright Futures ABA Therapy Inc
• Brilliant Dermatology and Aesthetics, PLLC

• Mental Health Counselor in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.