Organization Active NPI

Brain & Behavior Care LLC

  • Clinical Neuropsychologist
  • Ellicott City, MD
National Provider Identifier
1780376731
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
BRAIN & BEHAVIOR CARE LLC
Practice address
3300 N Ridge Rd Ste 230
Ellicott City, MD 21043-3387
Phone
(410) 988-2192
NPI assigned
May 25, 2023
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Dr. Si Si Han, PH.D., ABPPNPI 1104305218
Title
Owner
Phone
(410) 988-2192

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
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

3300 N Ridge Rd Ste 230
Ellicott City, MD 21043-3387

Mailing address

3300 N Ridge Rd Ste 230
Ellicott City, MD 21043-3387
Phone (410) 988-2192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230630000043 MD Part B Supplier - Clinic/Group Practice 5698134260 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

3290 North Ridge Rd
Ste 260
Ellicott City, MD 21043
Phone (410) 988-2192

3300 North Ridge Rd
Ste 230
Ellicott City, MD 21043
Phone (410) 750-3330

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": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1780376731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N RIDGE RD STE 230",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433387",
            "telephone_number": "410-988-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N RIDGE RD STE 230",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433387",
            "telephone_number": "410-988-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN & BEHAVIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SI SI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-988-2192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.