NPIMap

Organization Active NPI

Brain Matters, Inc.

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1164433603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991522 Issued in CO
Legal business name
BRAIN MATTERS, INC.
Practice address
201 University Blvd
#200
Denver, CO 80206-4657
Phone
(720) 941-6428
Fax
(720) 941-6494
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Shields Goodhue, M.S.W., L.C.S.W.
Title
Clinical Director
Phone
(720) 941-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 991522 CO Primary

Addresses

Primary practice location

201 University Blvd
#200
Denver, CO 80206-4657

Mailing address

201 University Blvd
#200
Denver, CO 80206-4657
Phone (720) 941-6428

National Provider Directory

National Provider Directory
Tax ID family
Brain Matters Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 University Blvd
Ste 200
Denver, CO 80206
Phone (720) 941-6428

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164433603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY BLVD",
            "address_2": "#200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064657",
            "telephone_number": "720-941-6428",
            "fax_number": "720-941-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY BLVD",
            "address_2": "#200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064657",
            "telephone_number": "720-941-6428",
            "fax_number": "720-941-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN MATTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODHUE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "SHIELDS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-941-6428",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.