=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649138181
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRAIN HEALTH USA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2026
-----------------------------------------------------
Last Update Date | 01/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14541 DELANO ST
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91411-2820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-515-8113
-----------------------------------------------------
Fax | 877-538-2102
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14541 DELANO ST
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91411-2820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-515-8113
-----------------------------------------------------
Fax | 877-538-2102
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | EHAB S YACOUB
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 877-515-8113
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------