Organization Active NPI

Braincare Inc

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1699010587
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3898 Issued in AZ
Legal business name
BRAINCARE INC
Practice address
2008 E Marshall Ave
Phoenix, AZ 85016-3111
Phone
(480) 204-0640
NPI assigned
Dec 3, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Anne Starkle
Title
Owner
Phone
(480) 204-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3898 AZ Primary

Addresses

Primary practice location

2008 E Marshall Ave
Phoenix, AZ 85016-3111

Mailing address

2008 E Marshall Ave
Phoenix, AZ 85016-3111
Phone (480) 204-0640

Other identifiers 1

IdentifierTypeStateIssuer
1184843005OtherAZIND NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1699010587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 E MARSHALL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163111",
            "telephone_number": "480-204-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 E MARSHALL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163111",
            "telephone_number": "480-204-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "STARKLE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-204-0640"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1184843005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.