Brain Function Clinic

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5251 Issued in FL

Legal business name

BRAIN FUNCTION CLINIC

Practice address

27499 Riverview Center Blvd
Bonita Springs, FL 34134-4313

Phone

(239) 403-8883

Fax

(239) 403-8881

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Howard Michael Kalter, PH.D.NPI 1457399586

Title

Owner Sole Practitioner

Phone

(239) 403-8883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard M. Kalter, PH.D.

  • Clinical Neuropsychologist
  • PT Charlotte, FL
  • NPI 1457399586
  NPD (past) Authorized official

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1730480591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344313",
            "telephone_number": "239-403-8883",
            "fax_number": "239-403-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344313",
            "telephone_number": "239-403-8883",
            "fax_number": "239-403-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN FUNCTION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "KALTER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER SOLE PRACTITIONER",
        "authorized_official_telephone_number": "239-403-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "59727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerson Jeffrey Boogaard, DMD
• Becky Arlene Boros, DC
• O'Malley Marie Bosanic, OD
• Botina Springs Medical Group
• Brain and Spine Consultants, Inc.
• Connie Brazelton
• William Breakstone
• Brian G. Fabian MD PA
• Brian G. Fabian MD PA
• Joshua Gordon Bridge, DPT

• Clinical Neuropsychologist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.