THE BRAIN CLINIC, LLC
NPI 1972117521
Psychologist in Sandwich, IL

Active since September 01, 2020
417 N MAIN ST, SANDWICH, IL 60548(630) 649-2819 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, Dec 7, 2020, Oct 22, 2020 and 1 more (4 updates tracked since 2020).

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

NPI1972117521
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameTHE BRAIN CLINIC, LLC
Location Address417 N MAIN STSandwich, IL 60548-1569
Mailing Address417 N Main StSandwich, IL 60548-1569 · (630) 649-2819
Organization SubpartNo
Authorized OfficialBrandi Kristen BoanOwner · (630) 649-2819
Enumeration DateSeptember 1, 2020
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1972117521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
417 N MAIN ST, Sandwich, IL 60548

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 MULTIPLE 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)

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)

Clinical Psychologist
NPI 1780862219
417 N MAIN ST
Sandwich, IL 60548
(630) 649-2819
✔ PECOS✔ Accepts Medicare0.5 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 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.