Kids Brain, Llc is a
Psychologist - Clinical Child & Adolescent based in Dallas, Texas. Kids Brain, Llc is licensed to practice in Texas (license number 33794) and their current practice location is
13500 Midway Rd.,, Suite 314, Dallas, Texas. It can be reached at their office (for appointments etc.) via phone at
(214) 360-9044.
NPI number for Kids Brain, Llc is 1528218120 and their current mailing address is 13500 Midway Rd.,, Suite 314, Dallas, Texas. Kids Brain, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528218120.
Healthcare Provider's Profile
| Full Name | Kids Brain, Llc |
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| Type | Facility |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 13500 Midway Rd.,, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528218120
- Provider Enumeration Date: 09/19/2008
- Last Update Date: 09/07/2023
Medical Identifiers
Medical identifiers for Kids Brain, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528218120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | 1143519 (Texas) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 109104 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | 106894 (Texas) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 33794 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kids Brain, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kids Brain, Llc
13500 Midway Rd.,, Suite 314,
Dallas, TX 75244
Ph: (214) 360-9044 | Kids Brain, Llc
13500 Midway Rd.,, Suite 314,
Dallas, TX 75244
Ph: (214) 360-9044 |
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