Forebrain Pllc

LBN: Forebrain Pllc
Forebrain Pllc is an health care organization with primary practice located at 7917 18Th Ave , Brooklyn NY 11214-1703. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Forebrain Pllc can be contacted via phone (917) 922-1751, or through Fried, Alan via phone (917) 922-1751.

Contact Information

Primary practice address
7917 18Th Ave Brooklyn NY 11214-1703
Phone: (917) 922-1751
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fried, Alan PHD
Phone: (917) 922-1751

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 011416 New York

Profile Details

NPI number 1033161104
LBN Legal business name Forebrain Pllc
DBA Doing business as
Authorized official Fried, Alan PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033161104 NPPES
New York MEDICAID 02742978

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