Active NPI
Braincare, LLC
- Physiological Laboratory
- Albany, NY
National Provider Identifier
1609243930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- BRAINCARE, LLC
- Doing business as
- Global Neuro-Diagnostics
- Practice address
- 125 Wolf Rd
Ste 313
Albany, NY 12205-1221 - Phone
- (866) 848-2522
- Fax
- (877) 290-1544
- NPI assigned
- Aug 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Shock
- Title
- Coo
- Phone
- (866) 848-2522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
125 Wolf Rd
Ste 313
Albany, NY 12205-1221
Mailing address
2670 Firewheel Dr
Ste B
Flower Mound, TX 75028-4601
Phone (866) 848-2522
Other names 1
- Global Neuro-Diagnostics
National Provider Directory
National Provider DirectoryLocations
125 Wolf Rd
Ste 313
Albany, NY 12205
Phone (518) 512-3907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440115200000",
"number": "1609243930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 FIREWHEEL DR",
"address_2": "STE B",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750284601",
"telephone_number": "866-848-2522",
"fax_number": "972-692-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WOLF RD",
"address_2": "STE 313",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051221",
"telephone_number": "866-848-2522",
"fax_number": "877-290-1544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-21",
"last_updated": "2015-08-21",
"status": "A",
"authorized_official_last_name": "SHOCK",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "866-848-2522"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Global Neuro-Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.