Active NPI
Brain and Beyond LLC
- Clinical Neuropsychologist
- Fort Lauderdale, FL
National Provider Identifier
1033727433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- BRAIN AND BEYOND LLC
- Practice address
- 4101 N Andrews Ave Ste 306
Fort Lauderdale, FL 33309-4776 - Phone
- (305) 720-1558
- NPI assigned
- Jul 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rohan Alric Brown
- Title
- Owner
- Phone
- (305) 720-1558
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Psychologist | 103T00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X |
Addresses
Primary practice location
4101 N Andrews Ave Ste 306
Fort Lauderdale, FL 33309-4776
Mailing address
4101 N Andrews Ave Ste 306
Fort Lauderdale, FL 33309-4776
Phone (305) 720-1558
Other names 1
- BRAIN AND BEYOND LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595289600000",
"number": "1033727433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N ANDREWS AVE STE 306",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333094776",
"telephone_number": "305-720-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N ANDREWS AVE STE 306",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333094776",
"telephone_number": "305-720-1558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIN AND BEYOND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ROHAN",
"authorized_official_middle_name": "ALRIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-720-1558"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BRAIN AND BEYOND LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.