INTEGRATIVE BRAIN CENTER (NPI# 1770982068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770982068 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE BRAIN CENTER |
| Practice Address |
1865 Veterans Park Dr Ste 202 Naples FL 34109-0447 |
| Mailing Address |
15 Red Hawk Rd N Colts Neck NJ 07722-2013 |
| Practice Telephone | 7327663357 |
| Mailing Telephone | 7328340099 |
| Mailing Fax Number | 7328340099 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | DR. MIHAELA ENESCU (CLINICAL COORDINATOR) |
| Authorized Official Telephone | 7328340099 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME94378 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1865 VETERANS PARK DR STE 202 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-0447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497043269 | Anton Coleman, Munch E. Backen, Pa | Psychiatry & Neurology | 3202 Serenity Ct, #102, Naples, FL 34114-9576 | 2011-07-14 |
| 1396758637 | Sharon Loretta Johnston | Psychiatry & Neurology | 599 9th Street North, Suite 307, Naples, FL 34102 | 2006-08-15 |
| 1194768317 | Neuroscience & Spine Associates | Psychiatry & Neurology | 877 111th Ave North, Suite 1, Naples, FL 34108 | 2006-06-14 |
| 1275583916 | William Andrew Justiz | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-11 |
| 1194703363 | Eshan Malik Kibria | Psychiatry & Neurology | 5475 Golden Gate Pkwy Ste 4, Naples, FL 34116-7529 | 2006-01-06 |
| 1427057371 | Michael J Vickers | Psychiatry & Neurology | 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 | 2005-07-21 |
| 1427057462 | Joseph Kandel | Psychiatry & Neurology | 877 111th Ave N, Suite 1, Naples, FL 34108-1866 | 2005-07-20 |
| 1265439269 | Jeffrey John Mccartney | Psychiatry & Neurology | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2005-07-05 |
| 1316940976 | Ronald E Howard Jr. | Psychiatry & Neurology | 5671 Naples Blvd, Naples, FL 34109-2023 | 2005-05-27 |
| 1427416114 | Brett William Mercer | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2016-02-09 |
| Find all providers in NAPLES | ||||
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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.