Brain Heaven With Adonai a Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRAIN HEAVEN WITH ADONAI A NURSING CORPORATION

Practice address

17875 Von Karman Ave Ste 150
Irvine, CA 92614-6212

Phone

(949) 694-9449

NPI assigned

May 8, 2024

Last updated

Jun 25, 2024By 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

Alisa McKnight, PMHNP-MSNNPI 1265117857

Title

Ceo

Phone

(209) 470-6692

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Alisa Anais McKnight

  • Psychiatric/Mental Health Nurse Practitioner
  • Modesto, CA
  • NPI 1265117857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1568210334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17875 VON KARMAN AVE STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146212",
            "telephone_number": "949-694-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17875 VON KARMAN AVE STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146212",
            "telephone_number": "949-694-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEAVEN WITH ADONAI A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-470-6692",
        "authorized_official_credential": "PMHNP-MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Carmen Bradley
• David Bradley, MPT
• Joseph David Bradley, DPT
• Natalie Michelle Bradshaw
• Emma Bragalone
• Brain Reconnectiom
• Brain Reconnection, Inc
• Brain Science Technologies Inc
• Brain Works Psychology, Apc
• Vanessa Sue Bramlage

• Psychiatric/Mental Health Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.