Active NPI
Braintek Institute
- Mechanotherapist
- San Diego, CA
National Provider Identifier
1376987701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2457 BCN
- Legal business name
- BRAINTEK INSTITUTE
- Practice address
- 3978 Sorrento Valley Blvd
Suite 310
San Diego, CA 92121-1436 - Phone
- (858) 735-4888
- Fax
- (858) 385-0222
- NPI assigned
- Apr 29, 2013
- 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
- Mr. Dennis Maness, PH.D.
- Title
- Owner
- Phone
- (858) 735-4888
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2457 BCN | CA | |
| Behavior Analyst | 103K00000X | 2457 BCN | CA | |
| Psychologist | 103T00000X | 2457 BCN | CA | |
| Rehabilitation Chiropractor | 111NR0400X | 2457 BCN | CA | |
| Mechanotherapist | 172M00000X | 2457 BCN | CA | Primary |
| Specialist | 174400000X | 2457 BCN | CA | |
| Naturopath | 175F00000X | 2457 BCN | CA |
Addresses
Primary practice location
3978 Sorrento Valley Blvd
Suite 310
San Diego, CA 92121-1436
Mailing address
3978 Sorrento Valley Blvd
Suite 310
San Diego, CA 92121-1436
Phone (858) 735-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2457 BCN | Other | CA | BOARD CERTIFIED NEUROTHERAPIST |
National Provider Directory
National Provider DirectoryLocations
3978 Sorrento Valley Blvd
Ste 310
San Diego, CA 92121
Phone (858) 735-4888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- San Diego, CA
- NPI 1336583764
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1376987701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3978 SORRENTO VALLEY BLVD",
"address_2": "SUITE 310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211436",
"telephone_number": "858-735-4888",
"fax_number": "858-385-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3978 SORRENTO VALLEY BLVD",
"address_2": "SUITE 310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211436",
"telephone_number": "858-735-4888",
"fax_number": "858-385-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINTEK INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-29",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "MANESS",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-735-4888",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "2457 BCN",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "2457 BCN",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "2457 BCN",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "2457 BCN",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "CA",
"license": "2457 BCN",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "2457 BCN",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": "CA",
"license": "2457 BCN",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED NEUROTHERAPIST",
"identifier": "2457 BCN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.