Brain Health Group LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

BRAIN HEALTH GROUP LLC

Practice address

11800 Singletree LN Ste 203
Eden Prairie, MN 55344-5397

Phone

(952) 944-5502

Fax

(651) 730-6657

NPI assigned

Feb 2, 2021

Last updated

Feb 15, 2023By 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

Yohance Pickett, LPNPI 1598052672

Title

President

Phone

(626) 354-9380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Yohance Rushied Pickett, PHD

  • Clinical Psychologist
  • Eden Prairie, MN
  • NPI 1598052672
  Medicare reassignment NPD Authorized official
• Saari Anne McCornack, PSYD

  • Clinical Psychologist
  • Big Lake, MN
  • NPI 1518437912
  Medicare reassignment NPD
• Robert L. Karol, PH.D., L.P.

  • Psychologist
  • Eden Prairie, MN
  • NPI 1811969447
  NPD
• Adam Piccolino, PSY.D.

  • Psychologist
  • Eden Prairie, MN
  • NPI 1598204869
  NPD
• Dana Brandenburg, PSYD, LP

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1548296502
  NPD (past)
• Bridget Hegeman, PHD., L.P.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1093789182
  NPD (past)
• April O'Brien

  • Speech-Language Pathologist
  • Saint Paul, MN
  • NPI 1104945286
  NPD (past)
• Michael Harvey, PSY.D.

  • Rehabilitation Psychologist
  • Fort Carson, CO
  • NPI 1407847338

  Clinical Neuropsychologist

  NPD (past)
• Nicole Marie Sitzer, PSY.D.

  • Clinical Psychologist
  • Fort Collins, CO
  • NPI 1043456932
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1477144384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 203",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445397",
            "telephone_number": "952-900-1440",
            "fax_number": "612-568-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 203",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445397",
            "telephone_number": "952-944-5502",
            "fax_number": "651-730-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "YOHANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-354-9380",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Tetlie Boyer
• Paul E Bozoian, DMD
• Christina Marie Braatz, MSN, RN, CNP
• Stace Todd Bradshaw, M.D.
• Trevor M Braeger
• Kara Marie Brandell, PSY.D.
• Allison Rose-Lofgren Brandts
• Michael Branitski, D.C.
• Marjorie Marie Branum
• Sidney Brastad, PHARMD

• Clinical Neuropsychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.