Brain Enhancement Institute

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

G67163 Issued in CA

Legal business name

BRAIN ENHANCEMENT INSTITUTE

Practice address

8055 W Manchester Ave
Ste 720
Playa del Rey, CA 90293-7960

Phone

(310) 305-1654

Fax

(310) 496-2957

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Steven Orenstein

Title

Owner, Executive Director

Phone

(310) 305-1645

Specialties & licenses 4

Addresses

Tax ID family

Brain Enhancement Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Brain Enhancement Institute

  • Clinical Neuropsychologist
  • Playa del Rey, CA
  • NPI 1750656245
  NPD tax ID
• Brain Enhancement Institute, Inc.

  • Psychiatry Physician
  • Playa del Rey, CA
  • NPI 1659680742
  NPD tax ID

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1497003974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "STE 720",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960",
            "telephone_number": "310-305-1654",
            "fax_number": "310-496-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "STE 720",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960",
            "telephone_number": "310-305-1654",
            "fax_number": "310-496-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN ENHANCEMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "ORENSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-305-1645"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "G67163",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "18502",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A72354",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Lynn Balakrishnan, MPT
• Danielle Baltazar, M.S., CCC-SLP
• Elaine Barrington, LCSW
• Nzita Ditele Bell
• Joshua Q Belmore
• Brain Enhancement Institute
• Brain Enhancement Institute, Inc.
• Breakwater Medical
• Brooke Elizabeth Bruneman
• Jose Cabrera, M.A., ATR-BC,

• Clinical Neuropsychologist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.