| Brain Health Group Llc | |
|
11800 Singletree Ln Ste 203 Eden Prairie MN 55344-5397 | |
| (952) 944-5502 | |
| (651) 730-6657 |
| Full Name | Brain Health Group Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 11800 Singletree Ln Ste 203, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Yohance Pickett (PRESIDENT) |
| Authorized Official Contact | 6263549380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Health Group Llc 11800 Singletree Ln Ste 203 Eden Prairie MN 55344-5397 Ph: (952) 900-1440 | Brain Health Group Llc 11800 Singletree Ln Ste 203 Eden Prairie MN 55344-5397 Ph: (952) 944-5502 |
| NPI Number | 1477144384 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 8527455443 |
|---|---|
| Medicare Enrollment ID | O20220425000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477144384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Robin L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982676995 PECOS PAC ID: 9537064258 Enrollment ID: I20031204000926 |
| Provider Name | Thomas M Kern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689648784 PECOS PAC ID: 0244203263 Enrollment ID: I20101101001369 |
| Provider Name | Yohance R Pickett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598052672 PECOS PAC ID: 5890968168 Enrollment ID: I20111101000757 |
| Provider Name | Saari Anne Mccornack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518437912 PECOS PAC ID: 0941619944 Enrollment ID: I20210504000561 |
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