The Brain Spa Concierge PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THE BRAIN SPA CONCIERGE PA

Doing business as

The Brain Spa Concierge

Practice address

210 Jupiter Lakes Blvd Ste 4104
Jupiter, FL 33458-7190

Phone

(561) 406-6561

Fax

(561) 406-6629

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward L Barias, MDNPI 1689007700

Title

MD

Phone

(561) 406-6561

Specialties & licenses 1

Addresses

Other names 1

• The Brain Spa Concierge Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Leonardo Barias, MD

  • Addiction Psychiatry Physician
  • Jupiter, FL
  • NPI 1689007700
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1386393544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-406-6561",
            "fax_number": "561-406-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-406-6561",
            "fax_number": "561-406-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN SPA CONCIERGE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BARIAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-406-6561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brain Spa Concierge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Beecham Tennyson, MD
• Loretta M Teri, OTRL
• Sari Sack Terrusa, LMHC
• Prentiss Powers Terry, SLP-CCC
• TGPN M1 LLC
• The Brain Spa, LLC
• The Dental Group LLC
• The Healing and Creative Arts Center, Inc
• The Healing and Creative Arts Center, Inc (Healing and Creative Arts Center)
• The Little Royals Dentistry for Kids, PLLC

• Psychiatry Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.