The Brain Boosters, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THE BRAIN BOOSTERS, INC.

Doing business as

LearningRx Jericho

Practice address

333 Jericho Tpke
Suite 200
Jericho, NY 11753-1100

Phone

(516) 870-3737

Fax

(732) 964-9446

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shelley Pazer, PH.D.

Title

Director of Learning & Development

Phone

(516) 870-3737

Specialties & licenses 1

Addresses

Other names 1

• LearningRx Jericho Doing business as

Locations

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1306236294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 JERICHO TPKE",
            "address_2": "SUITE 200",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531100",
            "telephone_number": "516-870-3737",
            "fax_number": "732-964-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 JERICHO TPKE",
            "address_2": "SUITE 200",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531100",
            "telephone_number": "516-870-3737",
            "fax_number": "732-964-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN BOOSTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "PAZER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "DIRECTOR OF LEARNING & DEVELOPMENT",
        "authorized_official_telephone_number": "516-870-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LearningRx Jericho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Tam
• Teladietitian
• Natasha A Tellechea, M.D.
• Robert Thaler, DDS
• Sandee Thau, R.N.
• Stephen Tita, LMHC
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• Jillian Toline, M.A., CCC-SLP
• Jeslin Anna Tomichen
• Tri State Medical Sales Consultants Inc.

• Adolescent and Children Mental Health Clinic/Center in Jericho, NY
• Providers in Jericho, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.