NPIMap

Organization Active NPI

Brain Training Center, LLC

  • Hearing and Speech Clinic/Center
  • Fairfield, IL
National Provider Identifier
1992165211
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
146004676 Issued in IL
Legal business name
BRAIN TRAINING CENTER, LLC
Practice address
1981 Il Highway 15
Fairfield, IL 62837-2811
Phone
(618) 599-0534
NPI assigned
Feb 29, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Kimberly Briggs, SLPNPI 1326408873
Title
Speech Language Pathologist
Phone
(618) 599-0534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 146004676 IL Primary

Addresses

Primary practice location

1981 Il Highway 15
Fairfield, IL 62837-2811

Mailing address

108 SE 3Rd St
Fairfield, Il 62837
Fairfield, IL 62837-2138
Phone (618) 842-5487

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1992165211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SE 3RD ST",
            "address_2": "FAIRFIELD, IL 62837",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372138",
            "telephone_number": "618-842-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 IL HIGHWAY 15",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372811",
            "telephone_number": "618-599-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "618-599-0534",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": "146004676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.