Brain and Behavioral Associates, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0880 Issued in NM

Legal business name

BRAIN AND BEHAVIORAL ASSOCIATES, PC

Practice address

1300 Central Ave SW
Albuquerque, NM 87102-2805

Phone

(505) 243-0335

Fax

(505) 216-2623

NPI assigned

Jun 17, 2011

Organization subpart

No

Name

Dr. Rex Eugene Jung, PH.DNPI 1801802558

Title

Owner

Phone

(505) 918-0066

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

• Rex Jung, PHD

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1801802558

  NM

  Medicare reassignment Care Compare group NPD Authorized official
• Lynette Abrams-Silva, PH.D.

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1326446881

  NM

  Medicare reassignment Care Compare group NPD
• Santiago Jose Palmer Cancel, PSYD

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1942073200

  NM, Psychologist

  Medicare reassignment Care Compare group NPD
• Travis Martin Shivley-Scott, PHD

  • Clinical Neuropsychologist
  • Mather, CA
  • NPI 1609445444

  NM, Psychologist

  Medicare reassignment Care Compare group NPD
• Patricia Mary Lake, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1457332835
  NPD (past)
• Rachelle E Mechenbier

  • Counselor
  • Albuquerque, NM
  • NPI 1164703518
  NPD (past)
• Kim Marie Perrier, MA, LPCC

  • Professional Counselor
  • Santa Fe, NM
  • NPI 1306992300
  NPD (past)
• Michelle A Nickerson, MSW

  • Clinical Social Worker
  • Falmouth, MA
  • NPI 1639383961
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2020.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1467747477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTRAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022805",
            "telephone_number": "505-243-0335",
            "fax_number": "505-216-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CENTRAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022805",
            "telephone_number": "505-243-0335",
            "fax_number": "505-216-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND BEHAVIORAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-918-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NM",
            "license": "0880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Anne Brady, APRN/PMHNP
• Virginia Brady
• Emma Bragg
• Gagandeep Singh Brah, MD
• Brain & Body Rehabilitation Psychotherapy LLC
• Brain Injury Association of New Mexico
• Marythelma Brainard, PH.D.
• Allen Wade Braithwaite, LMT
• Jens Brakenhoff, LMHC
• Artemio D Brambila, PHD

• All providers in Albuquerque, NM
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.