Organization Active NPI

Center for Brain Training

  • Mental Health Counselor
  • Jupiter, FL
National Provider Identifier
1497097000
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6391 Issued in FL
Legal business name
CENTER FOR BRAIN TRAINING
Practice address
550 Heritage Dr Ste 140
Jupiter, FL 33458
Phone
(561) 206-2706
Fax
(888) 624-6184
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Carolyn Cohen
Title
Office Administrator
Phone
(561) 744-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH6391 FL Primary

Addresses

Primary practice location

550 Heritage Dr Ste 140
Jupiter, FL 33458

Mailing address

550 Heritage Dr
Suite 140
Jupiter, FL 33458-3029
Phone (561) 206-2706

Other practice location 1

900 S US Highway 1
Suite 101
Jupiter, FL 33477-6459
Phone (561) 206-2706

National Provider Directory

National Provider Directory
Tax ID family
Center for Brain Training2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

550 Heritage Dr
Ste 140
Jupiter, FL 33458
Phone (561) 206-2706

900 S US Highway 1
Ste 101
Jupiter, FL 33477
Phone (561) 743-6517

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1497097000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HERITAGE DR",
            "address_2": "SUITE 140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583029",
            "telephone_number": "561-206-2706",
            "fax_number": "888-576-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HERITAGE DR STE 140",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-206-2706",
            "fax_number": "888-624-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S US Highway 1",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334776459",
            "country_code": "US",
            "telephone_number": "561-206-2706",
            "fax_number": "888-576-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR BRAIN TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-744-7616"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.