Active NPI
Brainergize LLC
- Mental Health Counselor
- Manchester, NH
National Provider Identifier
1073210555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BRAINERGIZE LLC
- Practice address
- 923 Elm St
PMB 10
Manchester, NH 03101-2003 - Phone
- (518) 620-1670
- NPI assigned
- Feb 14, 2023
- 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
- Christy M Ruiz Olmeda, LCMHC
- Title
- Owner
- Phone
- (518) 620-1670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
923 Elm St
PMB 10
Manchester, NH 03101-2003
Mailing address
617 South Main Street
Nashua, NEW HAMPSHIRE 03060
UM
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676332800000",
"number": "1073210555",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "617 SOUTH MAIN STREET",
"city": "NASHUA",
"state": "NEW HAMPSHIRE",
"postal_code": "03060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 ELM ST",
"address_2": "PMB 10",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031012003",
"telephone_number": "518-620-1670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINERGIZE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A",
"authorized_official_last_name": "RUIZ OLMEDA",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-620-1670",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.