NPIMap

Organization Active NPI

Center for Brain Health Inc

  • Clinical Neuropsychologist
  • Safety Harbor, FL
National Provider Identifier
1497760102
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY7281 Issued in FL
Legal business name
CENTER FOR BRAIN HEALTH INC
Practice address
1840 Mease Dr
Suite 401a
Safety Harbor, FL 34695-6602
Phone
(727) 669-7000
Fax
(727) 669-7002
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Jessica Lindstadt Vassallo, PHDNPI 1770557597
Title
President
Phone
(727) 669-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PY7281 FL Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY7281 FL

Addresses

Primary practice location

1840 Mease Dr
Suite 401a
Safety Harbor, FL 34695-6602

Mailing address

PO Box 956
Oldsmar, FL 34677-0956
Phone (727) 669-7000

National Provider Directory

National Provider Directory

Locations

1840 Mease Dr
Ste 401A
Safety Harbor, FL 34695
Phone (727) 726-4598

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1497760102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346770956",
            "telephone_number": "727-669-7000",
            "fax_number": "727-669-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 401A",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-669-7000",
            "fax_number": "727-669-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BRAIN HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "VASSALLO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LINDSTADT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-669-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7281",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.