NPIMap

Organization Active NPI

Open Mind Center for Brain & Behavior

  • Behavior Analyst
  • Menlo Park, CA
National Provider Identifier
1891307948
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OPEN MIND CENTER FOR BRAIN & BEHAVIOR
Practice address
1215 Obrien Dr
Menlo Park, CA 94025-1412
Phone
(650) 260-3805
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Dr. Marina Vaserman, MA, DSWNPI 1891048468
Title
Ceo
Phone
(650) 260-3805

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1215 Obrien Dr
Menlo Park, CA 94025-1412

Mailing address

1215 Obrien Dr
Menlo Park, CA 94025-1412
Phone (650) 260-3805

National Provider Directory

National Provider Directory

Locations

1215 Obrien Dr
Menlo Park, CA 94025
Phone (650) 260-3805

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1891307948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 OBRIEN DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251412",
            "telephone_number": "650-260-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OBRIEN DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251412",
            "telephone_number": "650-260-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MIND CENTER FOR BRAIN & BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "VASERMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-260-3805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, DSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.