Carrick Brain Centers

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

680840000 Issued in TX

Legal business name

CARRICK BRAIN CENTERS

Practice address

105 Decker CT
Suite 105
Irving, TX 75062-2767

Phone

(214) 771-8885

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Jimmy Matthews

Title

President/Ceo

Phone

(214) 504-1821

Specialties & licenses 1

Addresses

Other names 1

• Cerebrum Health Centers Doing business as

Locations

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1982138830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DECKER CT",
            "address_2": "SUITE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622767",
            "telephone_number": "214-771-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DECKER CT",
            "address_2": "SUITE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622767",
            "telephone_number": "214-771-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRICK BRAIN CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-504-1821"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "680840000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerebrum Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brendan Carr, LMT
• Emilie Carr
• Aimee Carrasco, MED, LPC, NCC
• Jennifer Carreon, LCSW
• Carrerstaff Unlimited
• Karina Leticia Carrillo
• Kassandra Nahyeli Carrillo
• Jadyn Carroll
• K'Lynne Carroll
• Eugene Vincent Carsia, DO

• Multi-Specialty Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.