BRAIN BLOOM NEUROTHERAPY CENTER
NPI 1659113322
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mc Lean, VA

Active since June 12, 2024
1303 VINCENT PL, MC LEAN, VA 22101(703) 821-1073 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brain Bloom Neurotherapy Center NPPES

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

BRAIN BLOOM NEUROTHERAPY CENTER (NPI 1659113322) is a healthcare organization registered as a mental health (including community mental health center) in Mc Lean, Virginia and active in the NPI registry since June 2024. The organization lists Lauren Colletti, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1659113322
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRAIN BLOOM NEUROTHERAPY CENTER
Location Address1303 VINCENT PLMc Lean, VA 22101-3615
Mailing Address1307 Vincent PlMc Lean, VA 22101-3680 · (703) 821-1073
Organization SubpartNo
Authorized OfficialLauren CollettiOffice Administrator · (703) 821-1073
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
NPI 1659113322 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
1303 VINCENT PL, Mc Lean, VA 22101

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1303 VINCENT PL
MC LEAN, VA 22101

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 Bloom Neurotherapy Center's NPI number?

The NPI number for Brain Bloom Neurotherapy Center is 1659113322. It was assigned to this organization in the NPPES registry on June 12, 2024.

Where is Brain Bloom Neurotherapy Center located?

Brain Bloom Neurotherapy Center is located at 1303 Vincent Pl, Mc Lean, VA 22101. The listed phone number is (703) 821-1073.

What is Brain Bloom Neurotherapy Center'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.

When was this NPI record last updated?

The NPPES record for Brain Bloom Neurotherapy Center was last updated on June 12, 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.