Organization Active NPI

Brain X Dynamics LLC

  • Psychiatry Physician
  • Hallandale Beach, FL
National Provider Identifier
1285441501
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRAIN X DYNAMICS LLC
Practice address
800 SE 4TH Ave Ste 808a
Hallandale Beach, FL 33009-6497
Phone
(305) 697-0176
Fax
(305) 912-0574
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Dr. Clara Lucila Alvarez, MD
Title
Ceo
Phone
(305) 697-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

800 SE 4TH Ave Ste 808a
Hallandale Beach, FL 33009-6497

Mailing address

800 SE 4TH Ave Ste 808a
Hallandale Beach, FL 33009-6497
Phone (305) 697-0176

National Provider Directory

National Provider Directory

Locations

800 SE 4th Ave
Ste 808A
Hallandale Beach, FL 33009
Phone (305) 697-0176

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1285441501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SE 4TH AVE STE 808A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096497",
            "telephone_number": "305-697-0176",
            "fax_number": "305-912-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 4TH AVE STE 808A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096497",
            "telephone_number": "305-697-0176",
            "fax_number": "305-912-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN X DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "LUCILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-697-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.