Organization Active NPI

Brain-Heart Connection, a Psychological Services Corporation

Doing business as The Brain-Heart Connection

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1235761099
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRAIN-HEART CONNECTION, A PSYCHOLOGICAL SERVICES CORPORATION
Doing business as
The Brain-Heart Connection
Practice address
420 1/2 N Larchmont Blvd Ste 2
Los Angeles, CA 90004-3014
Phone
(213) 986-6181
NPI assigned
Feb 10, 2020
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Dr. Laura B. O'Connor, PSY.D.NPI 1215141288
Title
President
Phone
(213) 986-6181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

420 1/2 N Larchmont Blvd Ste 2
Los Angeles, CA 90004-3014

Mailing address

1758 W Silver Lake Dr
Los Angeles, CA 90026-1232
Phone (310) 883-5431

Other names 1

  • The Brain-Heart Connection Doing business as

National Provider Directory

National Provider Directory

Locations

420 N Larchmont Blvd
Ste 2
Los Angeles, CA 90004
Phone (213) 986-6181

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1235761099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 W SILVER LAKE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261232",
            "telephone_number": "310-883-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1/2 N LARCHMONT BLVD STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043014",
            "telephone_number": "213-986-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN-HEART CONNECTION, A PSYCHOLOGICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-986-6181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brain-Heart Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.