Organization Active NPI

Brainstim LLC

  • Psychiatry Physician
  • Grand Rapids, MI
National Provider Identifier
1841840220
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRAINSTIM LLC
Practice address
847 Parchment Dr SE Ste 120
Grand Rapids, MI 49546-2377
Phone
(616) 913-8441
NPI assigned
Sep 17, 2019
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Christopher Shepard
Title
Founder/Ceo
Phone
(248) 613-9584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

847 Parchment Dr SE Ste 120
Grand Rapids, MI 49546-2377

Mailing address

847 Parchment Dr SE Ste 120
Grand Rapids, MI 49546-2377
Phone (616) 913-8441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107002260 MI Part B Supplier - Clinic/Group Practice 9537593181 Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

135 N Arlington Heights Rd
Ste 105A
Buffalo Grove, IL 60089
Phone (847) 654-9702

4413 Corunna Rd
Ste 103
Flint, MI 48532
Phone (810) 444-6678

4413 Corunna Rd
Uppr
Flint, MI 48532

847 Parchment Dr SE
Ste 120
Grand Rapids, MI 49546
Phone (616) 913-8441

847 Parchment Dr SE
Ste 130B
Grand Rapids, MI 49546
Phone (616) 913-8441

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1841840220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377",
            "telephone_number": "616-913-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377",
            "telephone_number": "616-913-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSTIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "248-613-9584"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.