Performance Brain Health Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PERFORMANCE BRAIN HEALTH CENTER

Practice address

1175 S Perry St
Castle Rock, CO 80104-1969

Phone

(719) 571-9590

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Ben Burlinson

Title

Ceo

Phone

(719) 571-9590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1144728239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 S PERRY ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 S PERRY ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041969",
            "telephone_number": "719-571-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE BRAIN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BURLINSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-571-9590"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Ivette Pena, NURSE PRACTITIONER
• Jay Vivian Pendell, PHARMD
• Vicki Pender, PHARM.D.
• Marlow Perez, MD
• Perfect Teeth - Castle Rock P.C.
• Performance Orthopedics
• Amanda Jeannine Perkins
• Marti Leigh Perkins, CNA
• Jacob Hugh Perry
• Katelyn Perryman

• Clinical Psychologist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.