Manbrain Incorporated

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73182 Issued in TX

Legal business name

MANBRAIN INCORPORATED

Practice address

16607 Blanco Rd Ste 904
San Antonio, TX 78232-1942

Phone

(210) 920-1572

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Michael Wurth

Title

Ceo

Phone

(210) 920-1572

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1881183523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 SETTING MOON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553308",
            "telephone_number": "210-620-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321942",
            "telephone_number": "210-920-1572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Dorothy Nichols Ln Unit A",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "TX",
            "postal_code": "789571741",
            "country_code": "US",
            "telephone_number": "210-973-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANBRAIN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "WURTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-920-1572"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12744",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801284781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Mae Manalo, PHARMD,RPH,MBA,PMP
• Nimmi Varghese Manaloor, M.B.B.S.
• Roy Miguel Manaloto
• Arushah Manasia, O.D.
• Bren Manaugh, LCSW
• Camila Mancera, MD
• Angela Mancha
• Erica Elaine Mancha, LVN
• Jesus Alberto Mancha
• Maria Magdalena Mancha

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.