NPIMap

Organization Active NPI

Brandon J McNichols PSYD, LLC

  • Clinical Psychologist
  • Aiea, HI
National Provider Identifier
1114452778
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1632 Issued in HI
Legal business name
BRANDON J MCNICHOLS PSYD, LLC
Practice address
99-128 Aiea Heights Dr
Suite 109
Aiea, HI 96701-3925
Phone
(808) 554-2867
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Brandon McNichols, PSYDNPI 1659816684
Title
Clinical Psychologist
Phone
(808) 554-2867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1632 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr
Suite 109
Aiea, HI 96701-3925

Mailing address

1526 Ala Amoamo St
Honolulu, HI 96819-1709
Phone (808) 554-2867

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1114452778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ALA AMOAMO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191709",
            "telephone_number": "808-554-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "SUITE 109",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-554-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON J MCNICHOLS PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MCNICHOLS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-554-2867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.