Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healthy Mind & Brain Center Licensed Clinical Social Worker In

Organization Neuropathology Physician · NPI 1255967063

Healthy Mind & Brain Center Licensed Clinical Social Worker In is a Neuropathology Physician in Apple Valley, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346
Phone: (190) 983-1044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuropathology Physician (primary) Taxonomy 207ZN0500X

Record details

NPI number1255967063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Peacock — Ceo · (909) 831-0446
Other names Healthy Mind & Brain Center; Brain Core
NPI enumeratedMarch 13, 2020
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022
Mailing address5822 Olive Ave, Rialto, CA 92377-3964