Brainsintegrative Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRAINSINTEGRATIVE HEALTH LLC

Practice address

3661 S Miami Ave Ste 504
Miami, FL 33133-4200

Phone

(305) 988-0687

Fax

(844) 476-3183

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Raul Gustavo Corredor, MDNPI 1548580558

Title

Owner

Phone

(305) 988-0687

Specialties & licenses 1

Addresses

Practitioners 1

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

• Raul Gustavo Corredor, M.D.

  • Psychiatry Physician
  • Fort Myers, FL
  • NPI 1548580558
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1770114696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 COLLINS AVE APT 1414",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402536",
            "telephone_number": "305-988-0687",
            "fax_number": "844-476-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-988-0687",
            "fax_number": "844-476-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSINTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "CORREDOR",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-988-0687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain & Behavioral Institute of South Florida Inc
• Brain to Body Chiropractic
• Brain Train Center Inc
• Brainard W. Hines, PH.D, P.a.
• Brainard W. Hines, PHD, PA
• Daniel Bral, DO, MPH, MS
• James Braley, RRT,CRTT
• Emma Brambila Garcia, RD
• Josefina Maria Bran, MD
• Cari-Ann Brana, M.S

• Adult Mental Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.