Brain Health Center, Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS006448-L Issued in PA

Legal business name

BRAIN HEALTH CENTER, INC

Practice address

7500 Brooktree Rd Ste 105
Wexford, PA 15090-9285

Phone

(412) 471-1195

NPI assigned

Jan 14, 2013

Last updated

Jun 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul D. Nussbaum, PH.D, ABPPNPI 1760575971

Title

President and Clinical Psychologist

Phone

(412) 471-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul D. Nussbaum, PH.D.

  • Clinical Neuropsychologist
  • Wexford, PA
  • NPI 1760575971
  Authorized official Same address or phone
• Jeffrey B. Wolfe, PH.D.

  • Clinical Psychologist
  • Wexford, PA
  • NPI 1871719864
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1992042659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "412-471-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "412-471-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT AND CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-471-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, ABPP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS006448-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014500900007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Bowe, CPD
• Salli Ann Bowman, NCC, LPC
• Joshua Boyd, MA, LPC
• Janelle H Brady-Porter, PA-C
• Megan Cara Brady, OTR/L
• Caitlin Rose Branduzzi, OT
• Jesse Brant
• Sonia Brar, MD
• Jason Braun, PSYD
• Breakout Advisors and Rehabilitation LLC

• Clinical Neuropsychologist in Wexford, PA
• Providers in Wexford, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.