Active NPI
Brejaynae S Joiner
- Counseling Psychologist
- Antioch, CA
National Provider Identifier
1720606593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 93064
- Practice address
- 2310 McGinley Ave
Antioch, CA 94509-3819 - Phone
- (510) 886-9909
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 93064 | CA | Primary |
Addresses
Primary practice location
2310 McGinley Ave
Antioch, CA 94509-3819
Mailing address
2310 McGinley Ave
Antioch, CA 94509-3819
Phone (510) 866-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93064 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1720606593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 MCGINLEY AVE",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945093819",
"telephone_number": "510-866-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 MCGINLEY AVE",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945093819",
"telephone_number": "510-886-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOINER",
"first_name": "BREJAYNAE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "93064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.