NPI Code Detail JSON Logo

1336039031 NPI number — BRAIN AND CLINICAL ASSESSMENT

NPI Number: 1336039031
Health Care Provider/Practitioner: BRAIN AND CLINICAL ASSESSMENT

Information about “1336039031” NPI (BRAIN AND CLINICAL ASSESSMENT) exists in 1336039031 in HTML format HTML  |  1336039031 in plain Text format TXT  |  1336039031 in PDF (Portable Document Format) PDF  |  1336039031 in an XML format XML  formats.

NPI Number : 1336039031 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336039031",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRAIN AND CLINICAL ASSESSMENT",
    "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": "12143 GLADEWICK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77077-2538",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-398-9462",
    "MailingAddressFaxNumber": "281-809-5154",
    "FirstLinePracticeLocationAddress": "507 PARK GROVE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KATY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77450-1759",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-398-9462",
    "PracticeLocationAddressFaxNumber": "281-809-5154",
    "EnumerationDate": "07/07/2025",
    "LastUpdateDate": "07/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAZAS",
    "AuthorizedOfficialFirstName": "CARLOS",
    "AuthorizedOfficialMiddleName": "ADALBERTO",
    "AuthorizedOfficialTitle": "FOUNDER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CLINICAL PSYCHOLOGIS",
    "AuthorizedOfficialTelephoneNumber": "713-398-9462",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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