Neurogrow Brain Fitness Center

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROGROW BRAIN FITNESS CENTER

Practice address

8280 Greensboro Dr
Suite 240
MC Lean, VA 22102-4905

Phone

(703) 462-9296

Fax

(703) 462-9269

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Bita Fotuhi

Title

Cfo

Phone

(703) 462-9296

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13521/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1396108551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 GREENSBORO DR",
            "address_2": "SUITE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024905",
            "telephone_number": "703-462-9296",
            "fax_number": "703-462-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 GREENSBORO DR",
            "address_2": "SUITE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024905",
            "telephone_number": "703-462-9296",
            "fax_number": "703-462-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGROW BRAIN FITNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "FOTUHI",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "703-462-9296",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasaman Nejat, LPC
• Christopher M Nelson, MD
• Lakesha J Nelson
• Mariana Nemirovskaya
• Neuro Speech Services PLLC
• Neurology Health Consulting PLLC
• Jennifer Nevarez
• Andrew Shedden Neviaser, M.D.
• Rachel Ngernmaneepothong, M.D.
• Minh-Hai Doan Ngo, MD

• Neurology Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.