Cerebro LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CEREBRO LLC

Practice address

307 E 1St St Ste 10-4
Prosper, TX 75078-2973

Phone

(903) 946-1261

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Pamela R Evans, NP

Title

Owner/Provider

Phone

(903) 946-1261

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1336619329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781041",
            "telephone_number": "903-946-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 1ST ST STE 10-4",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782973",
            "telephone_number": "903-946-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-946-1261",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  ADVANCED PRACTICE LICENSE",
            "identifier": "AP139190",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Cesar Castillo, MD
• Holly Castleberry, PTA
• Aleksandra Castro, NURSE PRACTITIONER
• Shannon Donnell Ceglinsky, FNP
• Center for Pediatric Surgery LTD
• Caroline Chandler
• Luke Dean Chaney
• Rosanne Charles, DNP, PMHNP-BC
• Mellisa Rhoda Chawira
• Cindy Y Chen-Wu, LPC-ASSOCIATE

• Psychiatric/Mental Health Nurse Practitioner in Prosper, TX
• Providers in Prosper, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.