BRAIN HEAVEN WITH ADONAI A NURSING CORPORATION
NPI 1568210334
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA

Active since May 08, 2024
17875 VON KARMAN AVE STE 150, IRVINE, CA 92614(949) 694-9449 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, May 8, 2024 (2 updates tracked since 2024).

About Brain Heaven With Adonai A Nursing Corporation NPPES

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

BRAIN HEAVEN WITH ADONAI A NURSING CORPORATION (NPI 1568210334) is a healthcare organization registered as a psychiatric/mental health in Irvine, California and active in the NPI registry since May 2024. The organization lists Alisa Mcknight, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568210334
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBRAIN HEAVEN WITH ADONAI A NURSING CORPORATION
Location Address17875 VON KARMAN AVE STE 150Irvine, CA 92614-6212
Mailing Address17875 Von Karman Ave Ste 150Irvine, CA 92614-6212 · (949) 694-9449
Organization SubpartNo
Authorized OfficialAlisa McknightCeo · (209) 470-6692
Enumeration DateMay 8, 2024
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1568210334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
17875 VON KARMAN AVE STE 150, Irvine, CA 92614

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Brain Heaven With Adonai A Nursing Corporation 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 Heaven With Adonai A Nursing Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265117857
1539 MCHENRY AVE
Modesto, CA 95350
(209) 702-0139
✔ PECOS✔ Accepts Medicare327 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 Heaven With Adonai A Nursing Corporation's NPI number?

The NPI number for Brain Heaven With Adonai A Nursing Corporation is 1568210334. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Brain Heaven With Adonai A Nursing Corporation located?

Brain Heaven With Adonai A Nursing Corporation is located at 17875 Von Karman Ave Ste 150, Irvine, CA 92614. The listed phone number is (949) 694-9449.

What is Brain Heaven With Adonai A Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brain Heaven With Adonai A Nursing Corporation enrolled in Medicare?

Yes. Brain Heaven With Adonai A Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brain Heaven With Adonai A Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brain Heaven With Adonai A Nursing Corporation. 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 Heaven With Adonai A Nursing Corporation was last updated on June 25, 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.