Brandon J McNichols, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1632 Issued in HI

Practice address

99-128 Aiea Heights Dr Ste 109
Aiea, HI 96701-3916

Phone

(808) 554-2867

Fax

(808) 824-3345

NPI assigned

Dec 29, 2016

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)

Not 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.

• Brandon J McNichols PSYD, LLC

  • Clinical Psychologist
  • Aiea, HI
  • NPI 1114452778
  Authorized official Same address or phone
• Hawaii Depression Clinic

  • Psychiatry Physician
  • Aiea, HI
  • NPI 1184389587
  NPD (past)

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1659816684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 109",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013916",
            "telephone_number": "808-554-2867",
            "fax_number": "808-824-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 109",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013916",
            "telephone_number": "808-554-2867",
            "fax_number": "808-824-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLS",
        "first_name": "BRANDON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-29",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle McDevitt
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• Nathan McQueen
• Jamie Meacham-Ah Nee
• Sabrina Mia Mechiat
• Med Boss Consulting LLC
• Medical Support Los Angeles, a Medical Corporation

• Clinical Psychologist in Aiea, HI
• Providers in Aiea, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.