Brainz Therapy Inc.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

BRAINZ THERAPY INC.

Practice address

6450 Spalding Dr Ste a
Peachtree Corners, GA 30092-4650

Phone

(770) 449-9334

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By 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

Lisa Howell

Title

VP of Operations

Phone

(770) 923-6400

Specialties & licenses 6

Addresses

Electronic endpoints 2

Locations

Practitioners 9

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.

• Rebecca G Alcoba, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lilburn, GA
  • NPI 1578926374
  NPD (past)
• Rebecca L Brigola, APNP

  • Pediatric Nurse Practitioner
  • Lilburn, GA
  • NPI 1912530866
  NPD (past)
• Carol Dawn Davis, MD

  • Pediatrics Physician
  • Lilburn, GA
  • NPI 1649405499
  NPD (past)
• Sydney Jones, NNP

  • Neonatal Nurse Practitioner
  • Atlanta, GA
  • NPI 1598011520
  NPD (past)
• George Z Katsitadze, MD PHD

  • Pediatrics Physician
  • Lilburn, GA
  • NPI 1427001122
  NPD (past)
• Chinyelu Obiamaka Nwobu, M.D., M.P.H.

  • Pediatrics Physician
  • Austell, GA
  • NPI 1386937282
  NPD (past)
• Harrison Crawford Stetler, MD

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1386607190
  NPD (past)
• Eve Oster Wexler, MD

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1245498120
  NPD (past)
• Jonathan Stephen Wood, MD

  • Pediatrics Physician
  • Lilburn, GA
  • NPI 1699055236
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1447858758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE STE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263292",
            "telephone_number": "770-923-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 SPALDING DR STE A",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924650",
            "telephone_number": "770-449-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 Five Forks Trickum Rd SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300478975",
            "country_code": "US",
            "telephone_number": "770-923-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAINZ THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "770-923-6400"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.howell@gwinnettchildren.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6450 Spalding Dr Ste A",
            "city": "Peachtree Corners",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300924650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "briouna.richards@atlantaautismcenter.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6450 Spalding Dr Ste A",
            "city": "Peachtree Corners",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300924650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele Denise Bethune, LCSW
• Blazerworks, LLC
• Wilberthe Betty Boileau, APRN
• Dayan Carla Bookman
• Sarah L Borthwick, BOC- ATC
• Brazen Wellness LLC
• Shakeia Brodie
• Angelique Brown
• Asiah Brown, MS
• Jessica Brown, DPT

• Clinical Child & Adolescent Psychologist in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.