BRAIN HEALTH USA – NPI #1417373713
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

BRAIN HEALTH USA is a psychiatry & neurologist located in GARDENA, CA. NPPES has assigned the NPI number 1417373713 to BRAIN HEALTH USA on March 11, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRAIN HEALTH USA” is a dba name, the actual legal business name for this organization is EHAB YACOUB MD INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 2 years ago on Jan 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAIN HEALTH USA below.

NPI Profile for
EHAB YACOUB MD INC.

NPI Number
1417373713
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EHAB YACOUB MD INC.
Doing Business As (dba): BRAIN HEALTH USA
Primary location
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone: (310) 515-8113 Fax: (310) 538-2102
1 Other location(s):
20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133
Phone: (877) 515-8113
Fax: (877) 538-2102
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EHAB YACOUB
MEDICAL DIRECTOR
Phone: (310) 515-8113
Updated
Certification Date
Jan 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
CA A76244
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.