Healthcare Provider Details

I. General information

NPI: 1356270128
Provider Name (Legal Business Name): BRAIN HEALTH SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3037 E WARM SPRINGS RD STE 200
LAS VEGAS NV
89120-3759
US

IV. Provider business mailing address

3037 E WARM SPRINGS RD STE 200
LAS VEGAS NV
89120-3759
US

V. Phone/Fax

Practice location:
  • Phone: 702-635-6555
  • Fax: 562-478-4575
Mailing address:
  • Phone: 702-635-6555
  • Fax: 562-478-4575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARILYN STRADA
Title or Position: PRINCIPAL PROVIDER
Credential: PHD
Phone: 702-635-6555