NPIMap

Organization Active NPI

Brain Matters, PLLC

  • Hearing and Speech Clinic/Center
  • Springfield, VA
National Provider Identifier
1376833525
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
2202001032 Issued in VA
Legal business name
BRAIN MATTERS, PLLC
Practice address
6120 Brandon Ave
#315
Springfield, VA 22150-2522
Phone
(703) 362-5376
Fax
(703) 560-7151
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Ms. Deborah C Gale, MS, CCC-SLP, CBIS
Title
Speech Language Pathologist, Owner
Phone
(703) 362-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 2202001032 VA Primary

Addresses

Primary practice location

6120 Brandon Ave
#315
Springfield, VA 22150-2522

Mailing address

6120 Brandon Ave
#315
Springfield, VA 22150-2522
Phone (703) 362-5376

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1376833525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "#315",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-362-5376",
            "fax_number": "703-560-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "#315",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-362-5376",
            "fax_number": "703-560-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN MATTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "703-362-5376",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP, CBIS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "VA",
            "license": "2202001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.