Organization Active NPI

Neuroscience Clinic LLC

  • Adult Mental Health Clinic/Center
  • Palmetto Bay, FL
National Provider Identifier
1659838175
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEUROSCIENCE CLINIC LLC
Practice address
18330 Franjo Rd
Palmetto Bay, FL 33157-5503
Phone
(786) 310-7477
Fax
(305) 503-9236
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Boris Nikolov
Title
Owner
Phone
(786) 310-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

18330 Franjo Rd
Palmetto Bay, FL 33157-5503

Mailing address

18330 Franjo Rd
Palmetto Bay, FL 33157-5503
Phone (786) 310-7477

National Provider Directory

National Provider Directory

Locations

18330 Franjo Rd
Palmetto Bay, FL 33157
Phone (786) 310-7477

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1659838175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 FRANJO RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575503",
            "telephone_number": "786-310-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18330 FRANJO RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575503",
            "telephone_number": "786-310-7477",
            "fax_number": "305-503-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "NIKOLOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-310-7477"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.