Active NPI
Cognitive Health Centers, LLC
- General Practice Physician
- Sarasota, FL
National Provider Identifier
1902562663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COGNITIVE HEALTH CENTERS, LLC
- Practice address
- 2801 Fruitville Rd Ste 220
Sarasota, FL 34237-5397 - Phone
- (941) 529-0077
- Fax
- (941) 529-0088
- NPI assigned
- Nov 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessie Dudley
- Title
- Manager
- Phone
- (941) 529-0077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2801 Fruitville Rd Ste 220
Sarasota, FL 34237-5397
Mailing address
2801 Fruitville Rd Ste 290
Sarasota, FL 34237-5347
Phone (941) 529-0077
Other practice location 1
4348 Southpoint Blvd Ste 310
Jacksonville, FL 32216-0934
Phone (904) 290-6028
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.greymattershealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
535 Encinitas Blvd
Ste 111
Encinitas, CA 92024
Phone (760) 385-8563
Interoperability endpoints
- alynch@org177.direct.charmhealth.com
- drnields@org177.direct.charmhealth.com
- sspell@org177.direct.charmhealth.com
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1871653337
-
- Family Nurse Practitioner
- Sarasota, FL
- NPI 1740721695
-
- General Practice Physician
- Jacksonville Beach, FL
- NPI 1972587848
-
- Family Nurse Practitioner
- Sarasota, FL
- NPI 1932778164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1902562663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 FRUITVILLE RD STE 290",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375347",
"telephone_number": "941-529-0077",
"fax_number": "941-529-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FRUITVILLE RD STE 220",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375397",
"telephone_number": "941-529-0077",
"fax_number": "941-529-0088"
}
],
"practiceLocations": [
{
"address_1": "4348 Southpoint Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322160934",
"country_code": "US",
"telephone_number": "904-290-6028",
"fax_number": "904-619-0045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COGNITIVE HEALTH CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-16",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "DUDLEY",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "941-529-0077"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.greymattershealth.org",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2801 Fruitville Rd Ste 220",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342375397",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.