The Brain Clinic, Llc

LBN: The Brain Clinic, Llc
The Brain Clinic, Llc is an health care organization with primary practice located at 417 N Main St , Sandwich IL 60548-1569. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Prescribing (Medical), Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. The Brain Clinic, Llc can be contacted via phone (630) 649-2819, or through Boan, Brandi Kristen via phone (630) 649-2819.

Contact Information

Primary practice address
417 N Main St Sandwich IL 60548-1569
Phone: (630) 649-2819
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boan, Brandi Kristen PSYD
Phone: (630) 649-2819

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1972117521
LBN Legal business name The Brain Clinic, Llc
DBA Doing business as
Authorized official Boan, Brandi Kristen PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2020
Last updated Dec 7th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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