Brain Reconnection, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BRAIN RECONNECTION, INC

Practice address

1929 Main St Ste 103
Irvine, CA 92614-6524

Phone

(949) 307-6914

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Hela M Kammoun, OT

Title

Owner

Phone

(949) 307-6914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1407393309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 MAIN ST STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146524",
            "telephone_number": "949-307-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 MAIN ST STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146524",
            "telephone_number": "949-307-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN RECONNECTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "KAMMOUN",
        "authorized_official_first_name": "HELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-307-6914",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Bradley, DPT
• Natalie Michelle Bradshaw
• Emma Bragalone
• Brain Heaven With Adonai a Nursing Corporation
• Brain Reconnectiom
• Brain Science Technologies Inc
• Brain Works Psychology, Apc
• Vanessa Sue Bramlage
• Aexa Michelle Branca
• Lauren Brand, PSYD

• Specialist in Irvine, CA
• Providers in Irvine, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.