Daniel Dale Brinkman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001993 Issued in WA

Practice address

1610 Grover St
Suite D-1
Lynden, WA 98264-1539

Phone

(360) 398-8127

Fax

(360) 354-5399

NPI assigned

Jan 25, 2007

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Crestview Psychological Services, P.S.

  • Clinical Psychologist
  • Lynden, WA
  • NPI 1992782015
  Medicare reassignment NPD Authorized official
• Family Care Network PLLC

  dba FCN Draw Station - Lynden

  • Clinical Medical Laboratory
  • Lynden, WA
  • NPI 1548819956
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1265588255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982640331",
            "telephone_number": "360-398-8127",
            "fax_number": "360-354-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST",
            "address_2": "SUITE D-1",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-398-8127",
            "fax_number": "360-354-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "DANIEL",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Margaret H. Burden, MD
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• Robin W. Caldwell, MD
• Madison Lynn Canales
• Capstone Health Services Inc. (Capstone Physical Therapy)

• Clinical Psychologist in Lynden, WA
• Providers in Lynden, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.