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MODERN BRAIN, LLC
NPI 1477099141
Clinical Neuropsychologist in New York, NY

Active since January 18, 2017
363 7TH AVE, 11TH FLOOR, SUITE 5, NEW YORK, NY 10001(646) 706-2372 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Brain, Llc NPPES

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

MODERN BRAIN, LLC (NPI 1477099141) is a healthcare organization registered as a clinical neuropsychologist in New York, New York and active in the NPI registry since January 2017. The organization lists Stella Karantzoulis, President, as its authorized official.

NPPES Registry Identity

NPI1477099141
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMODERN BRAIN, LLC
Location Address363 7TH AVE, 11TH FLOOR, SUITE 5New York, NY 10001-3904
Mailing Address245 E 54th St, 8bNew York, NY 10022-4707 · (646) 706-2372
Phone(646) 706-2372
Organization SubpartNo
Authorized OfficialStella KarantzoulisPresident · (646) 706-2372
Enumeration DateJanuary 18, 2017
✔ NPI 1477099141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 017975
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
363 7TH AVE, New York, NY 10001
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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

Other Providers at the Same Location NPPES 3

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

WEN FENG LIN LAC, LMT
Acupuncturist
363 7TH AVE, SUITE 1501
NEW YORK, NY 10001
New York County (917) 420-5732
XIAO WEN ACUPUNCTURE PC
Acupuncturist
363 7TH AVE, #1501
NEW YORK, NY 10001
New York County (212) 643-8899
XIAO ACUPUNCTURE CARE P.C
Acupuncturist
363 7TH AVE, SUITE 1501
NEW YORK, NY 10001
New York County (212) 643-8899

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 Modern Brain, LLC's NPI number?

The NPI number for Modern Brain, LLC is 1477099141. It was assigned to this organization in the NPPES registry on January 18, 2017.

Where is Modern Brain, LLC located?

Modern Brain, LLC is located at 363 7th Ave 11th Floor, Suite 5, New York, NY 10001. The listed phone number is (646) 706-2372.

What is Modern Brain, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Modern Brain, LLC was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.