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BRAIN SPINE AND SLEEP INSTITUTE
NPI 1386190734
Psychiatry & Neurology - Neurology in Lake Wales, FL

Active since August 26, 2016CLIA 10D2121221 · Waiver
1120 CARLTON AVE, SUITE 1300, LAKE WALES, FL 33853(863) 676-6386(863) 676-3124 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 14, 2016, Aug 26, 2016 (3 updates tracked since 2016).

About Brain Spine And Sleep Institute NPPES

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

BRAIN SPINE AND SLEEP INSTITUTE (NPI 1386190734) is a healthcare organization registered as a neurology in Lake Wales, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Hasan M Mousli, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1386190734
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameBRAIN SPINE AND SLEEP INSTITUTE LLC
Location Address1120 CARLTON AVE, SUITE 1300Lake Wales, FL 33853-4347
Mailing Address1120 Carlton Ave, Suite 1300Lake Wales, FL 33853-4347 · (863) 676-6386 · Fax (863) 676-3124
Phone(863) 676-6386
Fax(863) 676-3124
Organization SubpartNo
Authorized OfficialHasan M MousliOwner/md · (863) 676-6386
Enumeration DateAugust 26, 2016
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1386190734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X
1120 CARLTON AVE, Lake Wales, FL 33853
Open in Google Maps ↗

Other Names 1

Doing Business AsBrain Spine And Sleep Institute

Other Identifiers 1

OtherME97722FL · License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2121221

Brain Spine And Sleep Institute LLC · Lake Wales, FL
Active · expires Oct 31, 2026
CLIA Number10D2121221
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorHasan Mousli
Laboratory Phone(863) 676-6386
Laboratory LocationBrain Spine And Sleep Institute LLC1120 Carlton Ave Ste 1300, Lake Wales, FL 33853
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILCAH GRACE S CACULITAN FNP
Nurse Practitioner (Family)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Polk County (863) 676-6386
DR. NYDIA GRICELLE DELTORO RIVERA MD, WCC. DWC, CWS
General Practice
1120 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 270-4546
EVELINA FIGUEROA NATER APRN
Nurse Practitioner (Family)
1120 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 270-4546
HASAN M. MOUSLI MD
Psychiatry & Neurology (Neurology)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Polk County (863) 676-6386
LAKE WALES PRIMARY CARE CENTER, LLC
Specialist
1120 CARLTON AVE, SUITE 2300
LAKE WALES, FL 33853
Polk County (727) 251-1366

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 Spine And Sleep Institute LLC's NPI number?

The NPI number for Brain Spine And Sleep Institute LLC is 1386190734. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Brain Spine And Sleep Institute.

Where is Brain Spine And Sleep Institute LLC located?

Brain Spine And Sleep Institute LLC is located at 1120 Carlton Ave Suite 1300, Lake Wales, FL 33853. The listed phone number is (863) 676-6386.

What is Brain Spine And Sleep Institute LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Brain Spine And Sleep Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2121221) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brain Spine And Sleep Institute LLC accept?

Health plans from Molina Healthcare list Brain Spine And Sleep Institute LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brain Spine And Sleep Institute LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.