Organization Active NPI

Brainlogix Lab, LLC

Doing business as CogniVita Center for Neuropsychology

  • Clinical Neuropsychologist
  • Orlando, FL
National Provider Identifier
1669334827
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
BRAINLOGIX LAB, LLC
Doing business as
CogniVita Center for Neuropsychology
Practice address
3801 Avalon Park East Blvd Ste 200
Orlando, FL 32828-4902
Phone
(321) 461-3202
Fax
(321) 204-6855
NPI assigned
Nov 25, 2025
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Chelsie Kauilani Siu-Yiu Smyth, PSYDNPI 1225651425
Title
Clinical Neuropsychologist
Phone
(321) 461-3202

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 Neuropsychologist 103G00000X NU Primary
Clinical Psychologist 103TC0700X NU

Addresses

Primary practice location

3801 Avalon Park East Blvd Ste 200
Orlando, FL 32828-4902

Mailing address

13001 Founders Square Dr Ste 200
Orlando, FL 32828-7708
Phone (321) 461-3202

Other names 1

  • CogniVita Center for Neuropsychology Doing business as

National Provider Directory

National Provider Directory

Locations

13001 Founders Square Dr
Ste 200
Orlando, FL 32828
Phone (321) 461-3202

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1669334827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 FOUNDERS SQUARE DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287708",
            "telephone_number": "321-461-3202",
            "fax_number": "321-204-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 AVALON PARK EAST BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284902",
            "telephone_number": "321-461-3202",
            "fax_number": "321-204-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINLOGIX LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "CHELSIE",
        "authorized_official_middle_name": "KAUILANI SIU-YIU",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "321-461-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CogniVita Center for Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.