Healthcare Provider Details

I. General information

NPI: 1467813840
Provider Name (Legal Business Name): BRAIN TMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2016
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 SAMARITAN DR SUITE M
SAN JOSE CA
95124-4108
US

IV. Provider business mailing address

2516 SAMARITAN DRIVE SUITE M
SAN JOSE CA
95124-4108
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-5900
  • Fax: 408-356-5902
Mailing address:
  • Phone: 408-356-5900
  • Fax: 408-356-5902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberA71470
License Number StateCA

VIII. Authorized Official

Name: DR. HARPREET SINGH
Title or Position: CEO
Credential: M.D.
Phone: 408-356-5900