HEALTHY MIND & BRAIN CENTER
NPI 1255967063
Pathology - Neuropathology in Apple Valley, CA

Q: What is Healthy Mind & Brain Center Licensed Clinical Social Worker In.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Active since March 13, 2020

16195 SISKIYOU RD STE 120B, APPLE VALLEY, CA 92307(190) 983-1044 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 16, 2022, Aug 5, 2021, Mar 13, 2020 (3 updates tracked since 2020).

On this page

About Healthy Mind & Brain Center NPPES

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

HEALTHY MIND & BRAIN CENTER (NPI 1255967063) is a healthcare organization registered as a neuropathology in Apple Valley, California and active in the NPI registry since March 2020. The organization lists Regina J Peacock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255967063

Entity TypeOrganization

Primary Taxonomy207ZN0500X

Legal Business NameHEALTHY MIND & BRAIN CENTER LICENSED CLINICAL SOCIAL WORKER IN.

Location Address16195 SISKIYOU RD STE 120BApple Valley, CA 92307-1346

Mailing Address5822 Olive AveRialto, CA 92377-3964 · (909) 831-0446

Phone(190) 983-1044

Organization SubpartNo

Authorized OfficialRegina J PeacockCeo · (909) 831-0446

Enumeration DateMarch 13, 2020

Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1255967063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZN0500X

Definition

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

16195 SISKIYOU RD STE 120B, Apple Valley, CA 92307

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Other Names 2

Doing Business AsHealthy Mind & Brain Center

Former Legal Business NameBrain Core

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy Mind & Brain Center 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 Healthy Mind & Brain Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Regina Peacock, LCSW

Clinical Social Worker

NPI 1053916965

5822 OLIVE AVE
Rialto, CA 92377

(909) 831-0446

✔ PECOS28 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 Healthy Mind & Brain Center Licensed Clinical Social Worker In.'s NPI number?

The NPI number for Healthy Mind & Brain Center Licensed Clinical Social Worker In. is 1255967063. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Healthy Mind & Brain Center. The provider was formerly known as Brain Core.

Where is Healthy Mind & Brain Center Licensed Clinical Social Worker In. located?

Healthy Mind & Brain Center Licensed Clinical Social Worker In. is located at 16195 Siskiyou Rd Ste 120B, Apple Valley, CA 92307. The listed phone number is (190) 983-1044.

What is Healthy Mind & Brain Center Licensed Clinical Social Worker In.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Is Healthy Mind & Brain Center Licensed Clinical Social Worker In. enrolled in Medicare?

Yes. Healthy Mind & Brain Center Licensed Clinical Social Worker In. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Mind & Brain Center Licensed Clinical Social Worker In.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Healthy Mind & Brain Center Licensed Clinical Social Worker In.. 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 Healthy Mind & Brain Center Licensed Clinical Social Worker In. was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.