KIDS BRAIN, LLC (NPI# 1528218120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528218120 |
| Entity Type | Organization |
| Organization Name | KIDS BRAIN, LLC |
| Practice Address |
7859 Walnut Hill Ln Ste 200 Dallas TX 75230-5637 |
| Practice Telephone | 2149950566 |
| Practice Fax Number | 2146663181 |
| Mailing Telephone | (214) 995-0566 |
| Mailing Fax Number | 2146663181 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | DR. JENNIFER RENE MORRISON (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 2149950566 |
| Authorized Official Credential | PH.D., LSSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1143519 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
109104 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 106894 | TX | Speech, Language and Hearing Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
33794 | TX | Behavioral Health & Social Service Providers |
| Street Address |
7859 WALNUT HILL LN STE 200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366654758 | Melissa Ann Waters | Pediatrics | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5605 | 2007-05-06 |
| 1487210191 | Dallas Cognitive Wellness Center Pllc | Psychologist | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5637 | 2019-05-17 |
| 1083170146 | Rhiannon Simes | Nurse Practitioner | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5637 | 2019-02-13 |
| 1508338898 | Kelly Bentel | Counselor | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5637 | 2018-12-26 |
| 1447721378 | Claire Simpson | Clinical Neuropsychologist | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5637 | 2018-12-17 |
| 1558771774 | Clare Selig Coates | Speech-Language Pathologist | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5637 | 2014-04-28 |
| 1588930309 | Bich Ngoc Do | Pediatrics | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230-5605 | 2012-03-26 |
| 1871879445 | Marivelisse Rodriguez-rivera | Clinical Neuropsychologist | 7859 Walnut Hill Ln Ste 200, Dallas, TX 75230 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231064 | Crystal Gayle | Psychologist | 3626 N Hall St Ste 550, Dallas, TX 75219-5105 | 2018-07-06 |
| 1053820068 | Mark Anthon Lott | Psychologist | 2222 Medical District Dr Ste 105, Dallas, TX 75235-8075 | 2017-09-21 |
| 1982998019 | Child and Family Assessment Center, Pllc | Psychologist | 8117 Preston Rd., Ste. 300, Dallas, TX 75225 | 2011-06-06 |
| 1518981273 | Sarah Nuche | Psychologist | 6350 Lbj Freeway, Suite 254, Dallas, TX 75240-6462 | 2006-07-27 |
| 1881624971 | Richard L Peck | Psychologist | 4111 Country Brook Dr, Dallas, TX 75287-5006 | 2006-07-04 |
| 1215927108 | Nicole Caldwell | Psychologist | 16200 Dallas Pkwy, Ste. # 280, Dallas, TX 75248-2624 | 2005-10-24 |
| 1881176238 | Jenna Nicole Oppenheim | Psychologist | 1935 Medical District Drive, Dallas, TX 75235 | 2018-09-02 |
| 1801313903 | Jessica Davidson King | Psychologist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2017-08-29 |
| 1285185660 | Laura Kuper | Psychologist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-10-20 |
| 1609320407 | Sarah Horton | Psychologist | 12800 Hillcrest Rd # A124, Dallas, TX 75230-1524 | 2016-08-09 |
| Find all providers in DALLAS | ||||
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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.