BRAIN DYNAMICS LLC
NPI 1194596122
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Elgin, IL

Active since January 09, 2024
746 WEST SPRING STREET, SOUTH ELGIN, IL 60177(224) 801-2760 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brain Dynamics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAIN DYNAMICS LLC (NPI 1194596122) is a healthcare organization registered as a mental health (including community mental health center) in South Elgin, Illinois and active in the NPI registry since January 2024. The organization lists Melissa Colon, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1194596122
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRAIN DYNAMICS LLC
Location Address746 WEST SPRING STREETSouth Elgin, IL 60177-1424
Mailing Address830 W Il Route 22 # 76Lake Zurich, IL 60047-2560 · (224) 801-2760
Organization SubpartNo
Authorized OfficialMelissa ColonOwner/psychologist · (224) 801-2760
Enumeration DateJanuary 9, 2024
NPPES CertifiedDecember 26, 2023
✔ NPI 1194596122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
746 WEST SPRING STREET, South Elgin, IL 60177

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brain Dynamics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brain Dynamics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1528424512
830 W IL ROUTE 22 # 76
Lake Zurich, IL 60047
(847) 302-4599
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brain Dynamics LLC's NPI number?

The NPI number for Brain Dynamics LLC is 1194596122. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Brain Dynamics LLC located?

Brain Dynamics LLC is located at 746 West Spring Street, South Elgin, IL 60177. The listed phone number is (224) 801-2760.

What is Brain Dynamics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Brain Dynamics LLC enrolled in Medicare?

Yes. Brain Dynamics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brain Dynamics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Brain Dynamics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brain Dynamics LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.