The Brain Clinic, Llc in Sandwich, IL

The Brain Clinic, Llc is a medicare enrolled mental health clinic (Psychologist) in Sandwich, Illinois. The current practice location for The Brain Clinic, Llc is 417 N Main St, Sandwich, Illinois. For appointments, you can reach them via phone at (630) 649-2819. The mailing address for The Brain Clinic, Llc is 417 N Main St, Sandwich, Illinois and phone number is (630) 649-2819.

The Brain Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1972117521. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (630) 649-2819.

Contact Information

	The Brain Clinic, Llc
	417 N Main St Sandwich IL 60548-1569
	(630) 649-2819
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	The Brain Clinic, Llc
Speciality	Psychologist
Location	417 N Main St, Sandwich, Illinois
Authorized Official Name and Position	Brandi Kristen Boan (OWNER)
Authorized Official Contact	6306492819
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
The Brain Clinic, Llc 417 N Main St Sandwich IL 60548-1569 Ph: (630) 649-2819	The Brain Clinic, Llc 417 N Main St Sandwich IL 60548-1569 Ph: (630) 649-2819

NPI Details:

NPI Number	1972117521
Provider Enumeration Date	09/01/2020
Last Update Date	12/07/2020
Certification Date	12/07/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	4880008770
Medicare Enrollment ID	O20210204002307

Medical Identifiers

Medical identifiers for The Brain Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972117521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	(* (Not Available))	Primary
103TP0016X	Psychologist - Prescribing (medical)	(* (Not Available))	Secondary
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Brain Clinic, Llc acts as a billing entity for following providers:

Provider Name	Brandi Kristen Boan
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1780862219 PECOS PAC ID: 9436477338 Enrollment ID: I20150403000837

Reviews and Comments

Psychologist in Sandwich, IL

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Ben Gordon Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Latham St, Suite 204, Sandwich, IL 60548 Phone: 815-786-7544 Fax: 815-786-7580
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The Brain Clinic, Llc - Medicare Mental Health Clinic in Sandwich, IL