Brianne Eileen Henry-McAllister, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004833 Issued in VA

Practice address

21900 Willamette Dr Ste 202
West Linn, OR 97068

Phone

(503) 653-0631

Fax

(503) 653-1464

NPI assigned

Sep 3, 2013

Sex

Female

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: brianne.henry-mcallister.1@32989.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sundstrom Clinical Services LLC

  • Psychologist
  • West Linn, OR
  • NPI 1669508412
  NPD (past)

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1720412224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 WILLAMETTE DR STE 202",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683284",
            "telephone_number": "503-653-0631",
            "fax_number": "503-653-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21900 WILLAMETTE DR STE 202",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97068",
            "telephone_number": "503-653-0631",
            "fax_number": "503-653-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY-MCALLISTER",
        "first_name": "BRIANNE",
        "middle_name": "EILEEN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PSYCHOLOGIST LICENSE",
            "identifier": "2977",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Wellness Company
• Thomas Lant Haymore, D.M.D.
• Michael C Hazel, DMD
• Jason M Head
• Heidi Scanlan LCSW LLC (Mind Body Align)
• Ilene Marie Herget, RN
• Hi School Pharmacy of Oregon Inc (Hi School Pharmacy)
• Lauren Hisada, LPC, HTR
• Mingming Zhang Hohensee, OTR/L
• Holy Family Catholic Clinic, P.S.

• Clinical Psychologist in West Linn, OR
• Providers in West Linn, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.