BRAIN PERFORMANCE CENTERS (NPI# 1013381383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013381383 |
| Entity Type | Organization |
| Organization Name | BRAIN PERFORMANCE CENTERS |
| Practice Address |
6840 E Brown Rd Ste 104 Mesa AZ 85207-3759 |
| Practice Telephone | 4807198080 |
| Mailing Telephone | 4807198080 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | PETER STAPLEY (COTA/L) |
| Authorized Official Telephone | 4803353088 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
6840 E BROWN RD STE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85207-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079801 | John Scott Davis | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2006-05-15 |
| 1487280137 | Brian Orrell | Physical Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2020-03-13 |
| 1477198737 | Emily Lines | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2019-11-11 |
| 1386290062 | Melissa Hurst | Speech-Language Pathologist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2019-08-17 |
| 1659924074 | Derek Chase Adams | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2019-07-24 |
| 1003364027 | Amy Miner | Occupational Therapy Assistant | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2016-09-19 |
| 1942659651 | Desmond Bernstein | Physical Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207 | 2016-06-03 |
| 1902208416 | Brain Performance Centers, LLC | Clinic/Center | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2014-09-16 |
| 1538449897 | Jason Ernst | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2011-08-18 |
| 1922291483 | Duane K Blau | Physical Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2007-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
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| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912443144 | Hospice Promise of Mohave LLC | Point of Service | 840 W University Dr Ste 1, Mesa, AZ 85201-5529 | 2017-01-11 |
| 1073854816 | Oxford Health Network, LLC | Point of Service | 3049 E Mckellips Rd, Suite 6, Mesa, AZ 85213-3144 | 2013-03-04 |
| 1598987885 | Dobson Imagin Center | Point of Service | 1837 W Guadalupe Rd Ste 110, Mesa, AZ 85202 | 2007-05-03 |
| 1497975684 | Longlife Medical Inc. | Point of Service | 6632 E. Baseline Rd., Ste. 103, Mesa, AZ 85206-4428 | 2007-04-27 |
| 1669891842 | German Dobson Cvs L.L.C. | Point of Service | 1151 E Mckellips Rd, Mesa, AZ 85203-2626 | 2014-04-15 |
| 1942587217 | Family Service Agency | Point of Service | 943 S Gilbert Rd, Mesa, AZ 85204-4441 | 2011-11-14 |
| 1275657074 | Vo of Arizona Inc. | Point of Service | 1930 S Alma School Rd, Suite 203, Mesa, AZ 85210-3064 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730708017 | 1 Source Labs and Medical Services LLC | Point of Service | 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824 | 2020-04-16 |
| 1639733827 | Capable Home Solutions | Point of Service | 1625 S 7th Ave, Yuma, AZ 85364-5553 | 2019-04-24 |
| 1912444977 | Equally One | Point of Service | 3102 N 39th Ave, Phoenix, AZ 85019-4102 | 2017-01-27 |
| 1194277426 | Women's Medical & Gyn Centre, LLC | Point of Service | 2055 Highway 95, Bullhead City, AZ 86442-6004 | 2016-11-03 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1376908996 | Westchester Tbi Home Care LLC | Point of Service | 1046 E Westchester Dr, Tempe, AZ 85283-3039 | 2015-12-25 |
| 1144692872 | Solera Health, Inc. | Point of Service | 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718 | 2015-10-21 |
| 1609245323 | Walter Edward Heuck | Point of Service | 15113 W Las Brizas Ln, Sun City West, AZ 85375-3056 | 2015-09-23 |
| 1962878744 | Gimo Pharmacuetical Services | Point of Service | 12809 W Indianola Ave, Avondale, AZ 85392-6723 | 2015-08-17 |
| 1720464233 | April Cole, Rn | Point of Service | 20504 E Riggs Rd, Queen Creek, AZ 85142-5297 | 2015-08-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.