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Brain Analysis & Neurodevelopment Center, LLC

Organization Active NPI Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician · Hadley, MA

NPI 1386008985 · NPPES record last updated Jan 10, 2017

Key facts

NPI
1386008985
Entity type
Organization (NPI type 2)
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X
License
7324 (MA)
Legal business name
BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC
Practice address
195 Russell St
Suite B-13
Hadley, MA 01035-9515
Phone
(413) 203-6600
Fax
(866) 651-1899
NPI assigned
Apr 9, 2016
Organization subpart
No

Authorized official

Name
Robert Davis, PSYD
Title
Executive Director
Phone
(413) 203-6600

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Brain Analysis and Neurodevelopment Center LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2081P0301X 7324 MA Yes

Addresses

Primary practice location

195 Russell St
Suite B-13
Hadley, MA 01035-9515

Mailing address

195 Russell St
Suite B-13
Hadley, MA 01035-9515
Phone (413) 203-6600

Other names

  • Concussion Center of Massachusetts Doing business as

Other providers in Hadley, MA

All providers in Hadley, MA · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.