Organization Active NPI

Brain and Wellness Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1992391387
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRAIN AND WELLNESS INC.
Practice address
10401 S Mason Rd Ste 404
Richmond, TX 77406-5885
Phone
(713) 828-5480
Fax
(832) 952-0230
NPI assigned
Dec 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Sarah Taylor, PHD, FNP-C, PMHNP-BCNPI 1023413556
Title
Ceo
Phone
(832) 893-7028

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Hospice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH1000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Pediatric Hospice and Palliative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080H0002X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Multi-Specialty Clinic/Center 261QM1300X
Non-emergency Medical Transport (VAN) 343900000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10401 S Mason Rd Ste 404
Richmond, TX 77406-5885

Mailing address

10401 S Mason Rd BLDG D Ste 404
Richmond, TX 77406-5885
Phone (832) 893-7028

Other practice location 1

4458 W Fuqua St Ste 110
Houston, TX 77045-6257
Phone (713) 828-5480

Other practice location 2

1900 Red Rock Dr
Gallup, NM 87301-5682
Phone (832) 893-7028

Other practice location 3

1420 5th Ave
Seattle, WA 98101-4087
Phone (713) 828-5480

Other names 1

  • Complete Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, CA, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20210208002069 NM Part B Supplier - Clinic/Group Practice 0840605630 Receives reassigned benefits from 1 practitioner
Practice locations: Gallup, NM
O20210702002026 TX Part B Supplier - Clinic/Group Practice 0840605630 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20211101001846 CA Part B Supplier - Clinic/Group Practice 0840605630 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA
O20230522001572 AZ Part B Supplier - Clinic/Group Practice 0840605630 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Brain and Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

809 Sylvan Ave
Ste 500A
Modesto, CA 95350
Phone (209) 521-5150

4458 W Fuqua St
Houston, TX 77045
Phone (713) 828-5480

10401 S Mason Rd
Ste 404
Richmond, TX 77406
Phone (713) 828-5480

10401 S Mason Rd
Unit D404
Richmond, TX 77406
Phone (713) 828-5480

1420 5th Ave
Seattle, WA 98101
Phone (206) 682-1424

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1992391387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 S MASON RD BLDG D STE 404",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065885",
            "telephone_number": "832-893-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 S MASON RD STE 404",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065885",
            "telephone_number": "713-828-5480",
            "fax_number": "832-952-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4458 W Fuqua St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770456257",
            "country_code": "US",
            "telephone_number": "713-828-5480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Red Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015682",
            "country_code": "US",
            "telephone_number": "832-893-7028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981014087",
            "country_code": "US",
            "telephone_number": "713-828-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-893-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.