{
"Npi": {
"NPI": "1144101080",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRAIN & BEHAVIOR CONSULTING LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "190 CALLE 7",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GUAYNABO",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00968-3424",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-640-6162",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "150 AVE DE DIEGO",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTURCE",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00907-2300",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-640-6162",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/09/2025",
"LastUpdateDate": "09/09/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRODZINSKI",
"AuthorizedOfficialFirstName": "JAIME",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PSY.D",
"AuthorizedOfficialTelephoneNumber": "787-640-6162",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "103G00000X",
"TaxonomyName": "Clinical Neuropsychologist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}