Active NPI
Brainbody PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Skokie, IL
National Provider Identifier
1306523873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BRAINBODY PLLC
- Practice address
- 5250 Old Orchard Rd
Skokie, IL 60077-4460 - Phone
- (773) 885-8004
- NPI assigned
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simcha Cohen, APNP
- Title
- Owner
- Phone
- (773) 885-8004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5250 Old Orchard Rd
Skokie, IL 60077-4460
Mailing address
5250 Old Orchard Rd
Skokie, IL 60077-4460
Phone (773) 885-8004
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1306523873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 OLD ORCHARD RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774460",
"telephone_number": "773-885-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 OLD ORCHARD RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774460",
"telephone_number": "773-885-8004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINBODY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "SIMCHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-885-8004",
"authorized_official_credential": "APNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.