Organization Active NPI

Brain Function Clinic PLLC

  • Health Service Clinic/Center
  • Charlotte, NC
National Provider Identifier
1265891105
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4746 Issued in NC
Legal business name
BRAIN FUNCTION CLINIC PLLC
Practice address
447 S Sharon Amity Rd Ste 130
Charlotte, NC 28211-2836
Phone
(704) 366-7890
Fax
(704) 366-7810
NPI assigned
Feb 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Authorized official

Name
Ana Carine Messler, PHDNPI 1164721015
Title
Neuropsychologist
Phone
(704) 366-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4746 NC Primary

Addresses

Primary practice location

447 S Sharon Amity Rd Ste 130
Charlotte, NC 28211-2836

Mailing address

447 S Sharon Amity Rd Ste 130
Charlotte, NC 28211-2836
Phone (704) 366-7890

National Provider Directory

National Provider Directory

Locations

447 S Sharon Amity Rd
Ste 130
Charlotte, NC 28211
Phone (704) 366-7890

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": "1456012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456012800000",
    "number": "1265891105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112836",
            "telephone_number": "704-366-7890",
            "fax_number": "704-366-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112836",
            "telephone_number": "704-366-7890",
            "fax_number": "704-366-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN FUNCTION CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A",
        "authorized_official_last_name": "MESSLER",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "CARINE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "704-366-7890",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.