Organization Active NPI

Centerforbrain

  • Professional Counselor
  • Jupiter, FL
National Provider Identifier
1053705426
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CENTERFORBRAIN
Practice address
550 Heritage Dr
Suite 140
Jupiter, FL 33458-3029
Phone
(561) 744-7616
Fax
(866) 624-6184
NPI assigned
Mar 24, 2015
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Carolyn Cohen
Title
Office Administrator
Phone
(561) 744-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

550 Heritage Dr
Suite 140
Jupiter, FL 33458-3029

Mailing address

550 Heritage Dr Ste 140
Jupiter, FL 33458-3033
Phone (561) 744-7616

National Provider Directory

National Provider Directory
Tax ID family
Center for Brain Training2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1053705426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HERITAGE DR STE 140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583033",
            "telephone_number": "561-744-7616",
            "fax_number": "866-624-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HERITAGE DR",
            "address_2": "SUITE 140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583029",
            "telephone_number": "561-744-7616",
            "fax_number": "866-624-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERFORBRAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-744-7616"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.