Brendan Joseph Kiernan, PSYD DOCTOR OF PSYCH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

506 Issued in AK

Practice address

PO Box 32957
Juneau, AK 99803-2957

Phone

(907) 723-6041

NPI assigned

Mar 6, 2007

Last updated

Oct 4, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1699805044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32957",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998032957",
            "telephone_number": "907-723-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 32957",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998032957",
            "telephone_number": "907-723-6041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Ninnis Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018770",
            "country_code": "US",
            "telephone_number": "907-209-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "BRENDAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSYD DOCTOR OF PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-10-04",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PSYCHOLOGIST",
            "identifier": "506",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Kent, PHARMD
• Dana Kerr, M.D.
• John Walter Kesselring, PH.D.
• Christopher Keys
• Sylvia Marie Kidd, LPC
• Mark Kilmer
• Daniel Shinil Kim, MD
• Abigail King, FNP-C
• Eric Langdon King, LICSW
• Justice King

• Clinical Psychologist in Juneau, AK
• Providers in Juneau, AK by specialty
• Clinical Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.