NPIMap

Organization Active NPI

Brain Enhancement Institute, Inc.

  • Psychiatry Physician
  • Playa del Rey, CA
National Provider Identifier
1659680742
Registry record updated Oct 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G67163 Issued in CA
Legal business name
BRAIN ENHANCEMENT INSTITUTE, INC.
Practice address
8055 W Manchester Ave
Suite 720
Playa del Rey, CA 90293-7960
Phone
(310) 402-2790
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2010

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

Authorized official

Name
William A. Szyman
Title
Cheif Financial Officer/C.F.O.
Phone
(310) 402-2790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G67163 CA Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory
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.

Locations

8055 W Manchester Ave
Ste 720
Playa del Rey, CA 90293
Phone (310) 305-1654

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286582400000",
    "number": "1659680742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "SUITE 720",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "SUITE 720",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960",
            "telephone_number": "310-402-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN ENHANCEMENT INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-09",
        "status": "A",
        "authorized_official_last_name": "SZYMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER/C.F.O.",
        "authorized_official_telephone_number": "310-402-2790"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G67163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2010; 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.