Organization Active NPI

Neurorelief LLC

  • Anesthesiology Physician
  • Sherman Oaks, CA
National Provider Identifier
1952949067
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEURORELIEF LLC
Practice address
4955 Van Nuys Blvd Ste 505
Sherman Oaks, CA 91403-1829
Phone
(818) 416-9696
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Austin Brendlen Harris, MDNPI 1043471741
Title
Owner
Phone
(717) 747-0804

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 505
Sherman Oaks, CA 91403-1829

Mailing address

4955 Van Nuys Blvd Ste 505
Sherman Oaks, CA 91403-1829
Phone (818) 416-9696

Other names 1

  • NEURORELIEF KETAMINE & INFUSION THERAPY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1952949067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 505",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031829",
            "telephone_number": "818-416-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 505",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031829",
            "telephone_number": "818-416-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORELIEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "BRENDLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-747-0804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEURORELIEF KETAMINE & INFUSION THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.