Brain Empowerment LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRAIN EMPOWERMENT LLC

Practice address

8618 Palmer Park Cir
Sarasota, FL 34238-2405

Phone

(617) 953-8077

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Lisiane Goncalves Fidalgo, LMHCNPI 1891353090

Title

Licensed Mental Health Counselor

Phone

(617) 953-8077

Specialties & licenses 1

Addresses

Other names 1

• Brain Empowerment LLC Former legal business name

Practitioners 1

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

• Lisiane Fidalgo

  • Student in an Organized Health Care Education/Training Program
  • Sarasota, FL
  • NPI 1891353090
  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1821796400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 PALMER PARK CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382405",
            "telephone_number": "617-953-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 PALMER PARK CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382405",
            "telephone_number": "617-953-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN EMPOWERMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "FIDALGO",
        "authorized_official_first_name": "LISIANE",
        "authorized_official_middle_name": "GONCALVES",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "617-953-8077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Empowerment LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bradenton Dental Care Corp (oneco dental care)
• Bradley J. Abrams DO PA
• Jason L Bradley, HHA
• Veronica Bradly
• Mary Leta Bradshaw, ED.D.,LMHC, NCC,CEAP
• Joseph L Bramante Jr., DPM
• Carl David Bramson, MD
• Andrea Lynn Brand, MD
• Mary C Brand, LCSW
• Daniel Brander, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.