Childrens Brain Institute LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

CHILDRENS BRAIN INSTITUTE LLC

Practice address

76 Bedford St Ste 14
Lexington, MA 02420-4640

Phone

(818) 630-0077

Fax

(781) 863-0005

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Yaman Eksioglu, MDNPI 1326071911

Title

Authorized Official

Phone

(617) 909-4142

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23128/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Yaman Zorlu Eksioglu, MD, PHD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lexington, MA
  • NPI 1326071911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1922692474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MAIN CAMPUS DR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218627",
            "telephone_number": "617-899-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 14",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "818-630-0077",
            "fax_number": "781-863-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS BRAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "EKSIOGLU",
        "authorized_official_first_name": "YAMAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "617-909-4142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326071911",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child Development Network LLC
• Child Development Network, LLC
• Child Development Partners, LLC
• Child Talk
• Children'S Language Development Center LLC
• Childrens Speech and Language Services LLC
• Chukwudi Chinaka
• Paulina Chlopecka
• Yoo-Yun Cho-Chang, PH.D.
• Carolyn Ann Claiborne

• Neurology with Special Qualifications in Child Neurology Physician in Lexington, MA
• Providers in Lexington, MA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.

Verify at the official NPI Registry.