Brandt Therapy Clinics, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000532 Issued in IL

Legal business name

BRANDT THERAPY CLINICS, INC.

Practice address

125 E Lake St
Suite 106
Bloomingdale, IL 60108-1179

Phone

(630) 307-3782

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Sara Laurene Brandt, PH.D., M.S.

Title

President

Phone

(630) 456-4411

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1952497935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 ASBURY LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601934101",
            "telephone_number": "630-290-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LAKE ST",
            "address_2": "SUITE 106",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081179",
            "telephone_number": "630-307-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT THERAPY CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LAURENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-456-4411",
        "authorized_official_credential": "PH.D., M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006083",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001635417",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "34398000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Gerald Boyer, D.D.S.
• Linda M Braam, MS, RD, LD
• Brambert Chiropractic and Acupuncture, LTD.
• David Brambert, DC
• Grace Brandon, M.S., CCC-SLP
• Ximena Bravo, LCSW
• Johnathan Brenner, MA, ED.S.
• Abigail Brier, D.M.D
• Bright Shen Acupuncture
• Benjamin Brown

• Marriage & Family Therapist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.