MEDICARE: PERFORMANCE BRAIN HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1144728239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFORMANCE BRAIN HEALTH CENTER

Provider Business Mailing Address
First Line	:	1175 S PERRY ST
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 S PERRY ST
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1969
Country	:	US
Telephone Number	:	719-571-9590
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BEN BURLINSON
Credential	:
Telephone Number	:	719-571-9590

Provider Enumeration Date	:	01/24/2018
Last Update Date	:	01/24/2018

Similar Medicare Providers

1275489437 — HAILEE RAE CAWTHON
Practice Location Address:

1175 S PERRY ST
CASTLE ROCK, CO
80104-1969

Practice Phone: 720-949-7815
Practice Fax:

1467523530 — MRS. LISA RACHELLE EVENSON PA-C
Practice Location Address:

1175 S PERRY ST , SUITE 200
CASTLE ROCK, CO
80104-1969

Practice Phone: 303-688-3434
Practice Fax: 303-688-4454

1952590879 — COLORADO FAMILY ORTHOPAEDICS, PC
Practice Location Address:

1175 S PERRY ST
CASTLE ROCK, CO
80104-1969

Practice Phone: 303-746-4460
Practice Fax:

1831465129 — DANIELLE FAITH STANLEY BCBA
Practice Location Address:

1175 S PERRY ST STE 100
CASTLE ROCK, CO
80104-1969

Practice Phone: 720-949-7815
Practice Fax:

1740658335 — MRS. SHERYL REICHER N.P.
Practice Location Address:

1175 S PERRY ST , SUITE 220
CASTLE ROCK, CO
80104-1969

Practice Phone: 303-688-5029
Practice Fax:

1780212001 — DR. CRAIG MAPLES DO
Practice Location Address:

1175 S PERRY ST
CASTLE ROCK, CO
80104-1969

Practice Phone: 720-523-0133
Practice Fax:

Directions to “PERFORMANCE BRAIN HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.