Brain Fitness Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008028 Issued in IL

Legal business name

BRAIN FITNESS INC

Practice address

330 E Main St
Suite 201
Barrington, IL 60010-3203

Phone

(630) 388-8408

Fax

(847) 364-0823

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Georgia D Andrianopoulos, PHDNPI 1346527827

Title

Psychologist

Phone

(630) 388-8408

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Georgia D. Andrianopoulos, PHD LCPC

  • Professional Counselor
  • Elmhurst, IL
  • NPI 1346527827
  NPD (past) Authorized official

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1093131609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 W GARFIELD AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263901",
            "telephone_number": "630-388-8408",
            "fax_number": "847-364-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103203",
            "telephone_number": "630-388-8408",
            "fax_number": "847-364-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ANDRIANOPOULOS",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-388-8408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Diane Bowman, M.S., PA-C
• Mitch Boyd, D.C.
• Grant Weston Boyer, PSYD
• Lara Boyle
• Nicole Brady, NP
• Brenda L Brak, MD
• Michael G Braun, MD
• Kelly J Brawley, P.A.
• Gregory T. Brebach, M.D.
• Kristine Breganio

• Professional Counselor in Barrington, IL
• Providers in Barrington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.