Healthcare Provider Details

I. General information

NPI: 1013718642
Provider Name (Legal Business Name): HEALTHY BRAIN PSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 NW 5TH ST STE 200G
PLANTATION FL
33317-1613
US

IV. Provider business mailing address

7520 NW 5TH ST STE 200G
PLANTATION FL
33317-1613
US

V. Phone/Fax

Practice location:
  • Phone: 954-583-4324
  • Fax:
Mailing address:
  • Phone: 954-583-4324
  • Fax: 954-580-6885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: EVELYN MARGARITA RAMIREZ
Title or Position: FOUNDER/CEO
Credential: PHD
Phone: 561-696-2412