Individual provider Active NPI

Brian Paul Klinck, PSYD

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1649412743
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4039 Issued in AZ
Practice address
2999 N 44TH St Ste 415
Phoenix, AZ 85018-7251
Phone
(602) 675-0335
Fax
(602) 865-8089
NPI assigned
Apr 3, 2009
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY1234 NV
Clinical Neuropsychologist 103G00000X 1897 SC
Clinical Neuropsychologist 103G00000X 4039 AZ Primary
Clinical Psychologist 103TC0700X 4039 AZ
Clinical Psychologist 103TC0700X PY1234 NV
Clinical Psychologist 103TC0700X 1897 SC

Addresses

Primary practice location

2999 N 44TH St Ste 415
Phoenix, AZ 85018-7251

Mailing address

2999 N 44TH St Ste 415
Phoenix, AZ 85018-7251
Phone (602) 675-0335

Other practice location 1

110 Traders Cross Fl 1
Bluffton, SC 29909-4637
Phone (602) 675-0335

Other practice location 2

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone (602) 675-0335

Other identifiers 1

IdentifierTypeStateIssuer
441623MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090804000070 AZ Practitioner - Clinical Psychologist 0446303788 Reassigns benefits to 2 organizations
I20250403000663 SC Practitioner - Psychiatry 0446303788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (602) 675-0335

2999 N 44TH St
Suite 415
Phoenix, AZ 85018-7251
Phone (602) 562-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY1234NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Infusion Centers LLC CurrentSince Aug 1, 2022 Accepting new patients
Arcadia Neuropsychology, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients
Arizona Neurological Institute, PC Past Accepting new patients

Locations

2929 N 44th St
Ste 330
Phoenix, AZ 85018
Phone (480) 216-1789

2999 N 44th St
Ste 415
Phoenix, AZ 85018
Phone (602) 675-0335

3805 E Bell Rd
Ste 2400
Phoenix, AZ 85032
Phone (480) 210-8725

4400 N 32nd St
Ste 150
Phoenix, AZ 85018
Phone (602) 446-6322

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1649412743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 415",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187251",
            "telephone_number": "602-675-0335",
            "fax_number": "602-865-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 415",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187251",
            "telephone_number": "602-675-0335",
            "fax_number": "602-865-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Traders Cross Fl 1",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299094637",
            "country_code": "US",
            "telephone_number": "602-675-0335",
            "fax_number": "602-865-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 W Sahara Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024397",
            "country_code": "US",
            "telephone_number": "602-675-0335",
            "fax_number": "602-865-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINCK",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "PY1234",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SC",
            "license": "1897",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4039",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4039",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY1234",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441623",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.