| Brainstim Centers, Inc | |
|
28212 Kelly Johnson Pkwy Ste 215 Valencia CA 91355-5090 | |
| (310) 314-8250 | |
| Not Available |
| Full Name | Brainstim Centers, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28212 Kelly Johnson Pkwy Ste 215, Valencia, California |
| Authorized Official Name and Position | Mark Liker (CEO) |
| Authorized Official Contact | 3103148250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainstim Centers, Inc 28212 Kelly Johnson Pkwy Ste 215 Valencia CA 91355-5090 Ph: (310) 314-8250 | Brainstim Centers, Inc 28212 Kelly Johnson Pkwy Ste 215 Valencia CA 91355-5090 Ph: (310) 314-8250 |
| NPI Number | 1518506229 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 2062834161 |
|---|---|
| Medicare Enrollment ID | O20200618001332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518506229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mark A Liker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407806292 PECOS PAC ID: 8123051042 Enrollment ID: I20050912001287 |
| Provider Name | Arjun C Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194834424 PECOS PAC ID: 4486724150 Enrollment ID: I20080606000423 |
| Provider Name | Jacquelyn Victoria Zommick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073282786 PECOS PAC ID: 4880060540 Enrollment ID: I20221020001627 |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20230410002293 |
Behavioral Learning Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28245 Avenue Crocker, Suite 220, Valencia, CA 91355 Phone: 661-254-7086 | |
Griffin Consulting Co Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28381 Mayfair Dr, Valencia, CA 91354 Phone: 661-644-1573 | |
Henry Mayo Newhall Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23845 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-253-8000 Fax: 661-200-1042 | |
True Connections Of Southern California, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23502 Magic Mountain Pkwy Apt 1511, Valencia, CA 91355 Phone: 213-275-6786 | |
Telepsych One, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25350 Magic Mountain Pkwy Ste 300, Valencia, CA 91355 Phone: 661-214-3086 | |
Valencia Relationship Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28494 Westinghouse Pl, Suite 214, Valencia, CA 91355 Phone: 661-259-8200 Fax: 661-259-8419 | |
Goodman Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28416 Constellation Rd, Valencia, CA 91355 Phone: 661-932-8200 Fax: 661-554-7000 |