Organization Active NPI

Brain Health

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1073360632
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRAIN HEALTH
Practice address
7100 Regency Square Blvd Ste 288
Houston, TX 77036-3202
Phone
(281) 891-2242
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Dr. Ketam Hamdan, PHD
Title
Director of Brain Health
Phone
(617) 901-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7100 Regency Square Blvd Ste 288
Houston, TX 77036-3202

Mailing address

7100 Regency Square Blvd Ste 288
Houston, TX 77036-3202
Phone (281) 891-2242

National Provider Directory

National Provider Directory

Locations

7100 Regency Square Blvd
Ste 288
Houston, TX 77036
Phone (281) 701-8396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1073360632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 REGENCY SQUARE BLVD STE 288",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363202",
            "telephone_number": "281-891-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REGENCY SQUARE BLVD STE 288",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363202",
            "telephone_number": "281-891-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "KETAM",
        "authorized_official_title_or_position": "DIRECTOR OF BRAIN HEALTH",
        "authorized_official_telephone_number": "617-901-2269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.