NPIMap

Organization Active NPI

Brainstorm Learning

  • Psychologist
  • Fort Worth, TX
National Provider Identifier
1881071116
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
15507 Issued in TX
Legal business name
BRAINSTORM LEARNING
Practice address
1208 W Magnolia Ave
Suite 234
Fort Worth, TX 76104-4472
Phone
(817) 501-7363
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Jodi LowtherNPI 1346374808
Title
Co-Owner
Phone
(817) 501-7363

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36708 TX
Psychologist 103T00000X 15507 TX Primary

Addresses

Primary practice location

1208 W Magnolia Ave
Suite 234
Fort Worth, TX 76104-4472

Mailing address

1208 W Magnolia Ave
Suite 234
Fort Worth, TX 76104-4472

National Provider Directory

National Provider Directory

Locations

1208 W Magnolia Ave
Ste 234
Fort Worth, TX 76104
Phone (817) 501-7363

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": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1881071116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W MAGNOLIA AVE",
            "address_2": "SUITE 234",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W MAGNOLIA AVE",
            "address_2": "SUITE 234",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044472",
            "telephone_number": "817-501-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSTORM LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "LOWTHER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "817-501-7363",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36708",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "15507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.