THE BRAIN CLINIC, LLC
NPI 1972117521
Psychologist in Sandwich, IL
About The Brain Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE BRAIN CLINIC, LLC (NPI 1972117521) is a healthcare organization registered as a psychologist in Sandwich, Illinois and active in the NPI registry since September 2020. The organization lists Brandi Kristen Boan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Brain Clinic, Llc 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 The Brain Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 The Brain Clinic, LLC's NPI number?
The NPI number for The Brain Clinic, LLC is 1972117521. It was assigned to this organization in the NPPES registry on September 1, 2020.
Where is The Brain Clinic, LLC located?
The Brain Clinic, LLC is located at 417 N Main St, Sandwich, IL 60548. The listed phone number is (630) 649-2819.
What is The Brain Clinic, LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is The Brain Clinic, LLC enrolled in Medicare?
Yes. The Brain Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Brain Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to The Brain Clinic, LLC. 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 The Brain Clinic, LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.