Organization Active NPI

Brainsake, LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1275857955
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRAINSAKE, LLC
Practice address
7910 Woodmont Ave
Suite 305
Bethesda, MD 20814-2519
Phone
(301) 215-7721
Fax
(301) 215-7718
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Diane Lynn Badger
Title
Office Manager
Phone
(301) 215-7721

Specialties & licenses 1

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

Addresses

Primary practice location

7910 Woodmont Ave
Suite 305
Bethesda, MD 20814-2519

Mailing address

7910 Woodmont Ave
Suite 305
Bethesda, MD 20814-2519
Phone (301) 215-7721

Other names 1

  • Brain Wellness and Biofeedback Center of Washington, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

7910 Woodmont Ave
Ste 305
Bethesda, MD 20814
Phone (301) 215-7721

Practitioners & affiliated clinicians

Practitioners 1

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": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1275857955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE",
            "address_2": "SUITE 305",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142519",
            "telephone_number": "301-215-7721",
            "fax_number": "301-215-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE",
            "address_2": "SUITE 305",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142519",
            "telephone_number": "301-215-7721",
            "fax_number": "301-215-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-215-7721"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Wellness and Biofeedback Center of Washington, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.