Organization Active NPI

Brain Behavior Consultants

  • Adult Mental Health Clinic/Center
  • Plano, TX
National Provider Identifier
1760857577
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
15435 Issued in TX
Legal business name
BRAIN BEHAVIOR CONSULTANTS
Practice address
2301 Ohio Dr
Ste. 130
Plano, TX 75093-3927
Phone
(214) 498-9392
Fax
(972) 596-0238
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Gary B Rochelle, PHDNPI 1932162898
Title
Clinical Neuropsychologist
Phone
(214) 498-9392

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 15435 TX Primary

Addresses

Primary practice location

2301 Ohio Dr
Ste. 130
Plano, TX 75093-3927

Mailing address

2220 Coit Rd Ste 480
PMB 304
Plano, TX 75075-3762
Phone (214) 498-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160411002071 TX Part B Supplier - Clinic/Group Practice 7315245180 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX; Richardson, TX

National Provider Directory

National Provider Directory

Locations

2325 Coit Rd
Ste A
Plano, TX 75075
Phone (972) 867-3431

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1760857577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COIT RD STE 480",
            "address_2": "PMB 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753762",
            "telephone_number": "214-498-9392",
            "fax_number": "972-596-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "STE. 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933927",
            "telephone_number": "214-498-9392",
            "fax_number": "972-596-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BEHAVIOR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "ROCHELLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "214-498-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "15435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.