Provider Demographics
NPI:1104795095
Name:BRAIN ELEVATION PSYCHIATRY LLC
Entity type:Organization
Organization Name:BRAIN ELEVATION PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKRABURTTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-406-8705
Mailing Address - Street 1:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30301-0533
Mailing Address - Country:US
Mailing Address - Phone:770-404-6809
Mailing Address - Fax:
Practice Address - Street 1:700 PARK REGENCY PL NE APT 1503
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-4216
Practice Address - Country:US
Practice Address - Phone:770-404-6809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)