Brain Health Incorporated

Primary specialty

SpecialistTaxonomy code 174400000X

License

7324 Issued in MA

Legal business name

BRAIN HEALTH INCORPORATED

Practice address

195 Russell St Unit B13
Hadley, MA 01035-9530

Phone

(413) 687-7612

Fax

(888) 932-6257

NPI assigned

Apr 9, 2016

Organization subpart

No

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

Authorized official

Name

Robert Davis, PSYD

Title

President

Phone

(413) 687-7612

Specialties & licenses 1

Addresses

Other names 1

• BHI Doing business as

Locations

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1376907972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 RUSSELL ST UNIT B13",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359530",
            "telephone_number": "413-687-7612",
            "fax_number": "888-932-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 RUSSELL ST UNIT B13",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359530",
            "telephone_number": "413-687-7612",
            "fax_number": "888-932-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-687-7612",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "7324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Booth, LMT
• Susan Boraski
• Ashley Nicole Boudle, COTA
• Faye Brady, MSW
• Brain Analysis & Neurodevelopment Center, LLC
• Susan Brennan, CCC-SLP
• Rebecca Brown
• Raven M Burrell
• Kaileen Riley Canon, FNP-C
• Carol Berzonsky, PLLC

• All providers in Hadley, MA
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.