NPI 1225820442 · live from the CMS NPI Registry
Brainwise LLC
Clinical Neuropsychologist in Riverside, RI. National Provider Identifier 1225820442, active.
NPI record
| NPI | 1225820442 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinical Neuropsychologist 103G00000X |
| Practice location | 1275 Wampanoag Trl Ste 9, Riverside, RI 02915 |
| Practice phone | 401-352-8440 |
| Enumerated | May 22, 2025 |
| Last updated | January 9, 2026 |
| Authorized official | Jill Henley, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — |
| Clinical Neuropsychologist primary | 103G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.