Healthcare Provider Details

I. General information

NPI: 1629845284
Provider Name (Legal Business Name): USA BRAIN SCIENCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8859 CINCINNATI DAYTON RD STE 102
WEST CHESTER OH
45069-3193
US

IV. Provider business mailing address

9378 S MASON MONTGOMERY RD STE 102
MASON OH
45040-8827
US

V. Phone/Fax

Practice location:
  • Phone: 513-880-8448
  • Fax: 402-279-8571
Mailing address:
  • Phone: 937-809-9091
  • Fax: 402-279-8571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SARA MUELLER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 513-477-5610