Michael Brinker, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

202751 Issued in ID

Practice address

2076 S Eagle Rd
Meridian, ID 83642-6707

Phone

(289) 775-4515

NPI assigned

Apr 28, 2012

Last updated

Aug 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Neurobehavioral Health PLLC

  • Clinical Psychologist
  • Boise, ID
  • NPI 1518102797
  NPD (past)
• Turning Point Center for Youth & Development, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Fort Collins, CO
  • NPI 1386763951
  NPD (past)
• Turning Point Center for Youth and Family Development Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fort Collins, CO
  • NPI 1457470031
  NPD (past)
• Turning Point Center for Youth and Family Development, Inc.

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1881395226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1053679985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WEST VILLAGE LANE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "303-681-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "289-775-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKER",
        "first_name": "MICHAEL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-28",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "202751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Hope Therapy LLC
• Lisa M Bright, LCPC
• Brighthaven Supported Living LLC
• Pamela Kay Brill
• Wesley B Brimhall, DMD
• McKenna Anne Brinkman
• Brinton Anesthesia Group PLLC
• Clark Brinton, CRNA
• Carly Broadhead, MA, NCC, LPC
• Megan Lee Brock, PMNHP

• Clinical Psychologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.