Brain Body Integrative Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAIN BODY INTEGRATIVE THERAPY, LLC

Practice address

924 Colonial Ave.
BLDG. N Ste. 308
York, PA 17403

Phone

(701) 566-2453

Fax

(717) 461-2973

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Shatzkin, LCSW

Title

Owner/ Clinical Director

Phone

(717) 220-8660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1164007050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 COLONIAL AVE.",
            "address_2": "BLDG N SUITE 308",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17403",
            "telephone_number": "717-220-8660",
            "fax_number": "717-461-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COLONIAL AVE.",
            "address_2": "BLDG. N STE. 308",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17403",
            "telephone_number": "701-566-2453",
            "fax_number": "717-461-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BODY INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "SHATZKIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "717-220-8660",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Georgeann Bradley, LCSW
• Trevor John William Bradshaw, DPT
• Brigitte R Brady, RDN
• Joshua Sebastian Braganza, MD
• Roman Braginskiy, MD
• Nicole Lea Branham
• Holly J Branin, D.M.D.
• Drena Braswell
• Angela S Braun, RPH
• Jennifer Brazee, RDN

• Clinical Social Worker in York, PA
• Providers in York, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.