BRAINCARE, LLC (NPI# 1700329828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700329828 |
| Entity Type | Organization |
| Organization Name | BRAINCARE, LLC |
| Other Organization Name | GLOBAL NEURO-DIAGNOSTICS |
| Practice Address |
19909 120th Ave Ne Ste 203 Bothell WA 98011-8242 |
| Mailing Address |
2670 Firewheel Dr Ste B Flower Mound TX 75028-4601 |
| Practice Telephone | 8668482522 |
| Practice Fax Number | 8772901544 |
| Mailing Telephone | 8668482522 |
| Mailing Fax Number | 8772901544 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | JANICE SHOCK (SR DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2145323757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Global Neuro-Diagnostics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Dexter Ave N, Ste 100 (unit 165d), Seattle, WA 981093598 | 8668482522 | 8772901544 |
| 11820 Northup Way Ste 200, Bellevue, WA 980051974 | 8668482522 | 8772901544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209538 | Braincare, LLC | Physiological Laboratory | 2355 Highway 36 W, Ste 400, Roseville, MN 55113-3902 | 2016-12-09 |
| 1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1255798815 | Braincare, LLC | Physiological Laboratory | S75w17311 Janesville Rd, Muskego, WI 53150-9376 | 2016-01-26 |
| 1184099046 | Braincare, LLC | Physiological Laboratory | 1320 Main St Ste 347, Columbia, SC 29201-3204 | 2015-12-03 |
| 1457725889 | Braincare, LLC | Physiological Laboratory | 401 N Tryon St, Ste 1120, Charlotte, NC 28202-2196 | 2015-11-23 |
| 1538532874 | Braincare, LLC | Physiological Laboratory | 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 | 2015-11-09 |
| 1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
| 1457768715 | Braincare, LLC | Physiological Laboratory | 720 Corporate Cir, Ste A-6, Golden, CO 80401-5641 | 2014-07-18 |
| 1346784378 | Braincare, LLC | Physiological Laboratory | 7400 Beaufont Springs Dr, Ste 300 (unit 346), Richmond, VA 23225 | 2016-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Braincare, LLC | 6701 Koll Center Pkwy Ste 120, Pleasanton, CA 94566-8061 |
| Oregon Corporations, Companies and Business Names | BRAINCARE, LLC | 111 Sw Fifth Ave, Office 3142, Portland, OR 97204 |
| Iowa Business Entities | BRAINCARE, LLC | 2670 Firewheel Dr Ste. B, Flower Mound, TX 75028 |
| Washington State Corporations | BRAINCARE, LLC | 19909 120th Ave Ne, Ste 203, Bothell, WA 98011-8256 |
| Street Address |
19909 120TH AVE NE STE 203 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053865220 | Pacific Vascular, Inc | Physiological Laboratory | 11714 N Creek Pkwy N, Suite 100, Bothell, WA 98011-8250 | 2016-08-05 |
| 1730534553 | Pacific Vascular, Inc | Physiological Laboratory | 11714 N Creek Pkwy N, Suite 100, Bothell, WA 98011-8250 | 2016-04-29 |
| 1619300308 | Pacific Vascular Incorporated | Physiological Laboratory | 11714 N Creek Pkwy N Ste 100, Bothell, WA 98011-8250 | 2013-08-16 |
| 1750436945 | Pacific Vascular Incorporated | Physiological Laboratory | 11714 N Creek Pkwy N, Suite 100, Bothell, WA 98011-8250 | 2007-01-25 |
| 1295881217 | Pacific Vascular Incorporated | Physiological Laboratory | 11714 N Creek Pkwy N, Suite 100, Bothell, WA 98011-8250 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776842 | Pacific Vascular Incorporated | Physiological Laboratory | 315 E 8th St Lowr Level, Port Angeles, WA 98362-6217 | 2020-10-01 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1851715130 | Greater Sleep Solutions | Physiological Laboratory | 18801 Veterans Memorial Dr E Ste 1, Bonney Lake, WA 98391-5204 | 2014-02-07 |
| 1235432741 | Med-men LLC | Physiological Laboratory | 2522 N Proctor St, 468, Tacoma, WA 98406-5338 | 2010-12-06 |
| 1891017992 | Pacific Vascular Incorporated | Physiological Laboratory | 536 N 5th Ave, Suite B, Sequim, WA 98382-3079 | 2010-02-17 |
| 1780910091 | Agile Dx | Physiological Laboratory | 3413 56th St Nw, Suite C, Gig Harbor, WA 98335-8341 | 2009-10-21 |
| 1942441571 | Daniel Anyimah | Physiological Laboratory | 19604 Bing Road, Lynnwood, WA 98036 | 2009-03-11 |
| 1588600571 | Alpha Omega Sonography LLC | Physiological Laboratory | 12402 N Division St, Suite 205, Spokane, WA 99218-1930 | 2006-06-20 |
| 1376904078 | Pacific Vascular Incorporated | Physiological Laboratory | 1 E Main St, Suite 120, Auburn, WA 98002-4905 | 2016-03-09 |
| 1295145894 | Pacific Vascular Incorporated | Physiological Laboratory | 3104 Squalicum Pkwy, Suite 102, Bellingham, WA 98225-1941 | 2014-05-05 |
| Find all providers with the same taxonomy | ||||
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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.