Brainpower Neuropsychology, PLC

Primary specialty

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

License

16-23P Issued in AR

Legal business name

BRAINPOWER NEUROPSYCHOLOGY, PLC

Practice address

26 E Meadow St
Ste 4
Fayetteville, AR 72701-5320

Phone

(479) 310-0264

Fax

(888) 633-0366

NPI assigned

Jan 20, 2016

Last updated

May 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Frank, PH.D.

Title

Owner

Phone

(479) 310-0264

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1891152088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E MEADOW ST",
            "address_2": "STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015320",
            "telephone_number": "479-310-0264",
            "fax_number": "888-633-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MEADOW ST",
            "address_2": "STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015320",
            "telephone_number": "479-310-0264",
            "fax_number": "888-633-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINPOWER NEUROPSYCHOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-310-0264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "16-23P",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "16-23P",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "P1403037",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AR",
            "license": "P1403037",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AR",
            "license": "16-23P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217685744",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bradley
• Stanley Bradley, MD
• Erin S Brady, DDS
• Jana Lynn Brady, L.AC., DOM
• Raj Brahmbhatt, DDS
• Kevin Drake Branch, M.D.
• Brooke E Brander, DO
• Diane M Brandmiller, PH.D.
• Carla Dawn Brandow, MMT
• Bailee Brandt

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.