Organization Active NPI

Brain Health Center LLC

  • Specialist
  • St George, UT
National Provider Identifier
1336825728
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BRAIN HEALTH CENTER LLC
Practice address
1333 S Auto Mall Dr Ste 104
St George, UT 84770-6756
Phone
(435) 313-1703
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Trevor GeeNPI 1457050379
Title
Admin
Phone
(435) 313-1703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

1333 S Auto Mall Dr Ste 104
St George, UT 84770-6756

Mailing address

1333 S Auto Mall Dr Ste 104
St George, UT 84770-6756
Phone (435) 313-1703

National Provider Directory

National Provider Directory

Locations

335 E Saint George Blvd
Ste 203
Saint George, UT 84770
Phone (435) 313-1703

1333 S Auto Mall Dr
Ste 104
St George, UT 84770
Phone (435) 313-1703

Practitioners & affiliated clinicians

Practitioners 2

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": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1336825728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S AUTO MALL DR STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706756",
            "telephone_number": "435-313-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S AUTO MALL DR STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706756",
            "telephone_number": "435-313-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "435-313-1703"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.